Provider Demographics
NPI:1255879805
Name:DOBSON, REBECCA F (PT, DPT)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:F
Last Name:DOBSON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:ORELAND
Mailing Address - State:PA
Mailing Address - Zip Code:19075-2504
Mailing Address - Country:US
Mailing Address - Phone:215-740-4059
Mailing Address - Fax:
Practice Address - Street 1:1110 CHURCH RD
Practice Address - Street 2:
Practice Address - City:ORELAND
Practice Address - State:PA
Practice Address - Zip Code:19075-2504
Practice Address - Country:US
Practice Address - Phone:215-740-4059
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-03
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDPT-4928225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist