Provider Demographics
NPI:1205993268
Name:DAY, REBECCA SUZANNE (MOT, OTR/L)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:SUZANNE
Last Name:DAY
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19284 COTTONWOOD DR
Mailing Address - Street 2:STE 101
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-3882
Mailing Address - Country:US
Mailing Address - Phone:720-777-9007
Mailing Address - Fax:
Practice Address - Street 1:19284 COTTONWOOD DR
Practice Address - Street 2:STE 101
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-3882
Practice Address - Country:US
Practice Address - Phone:720-777-9007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0003477225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL12388Medicaid