Provider Demographics
NPI:1295243996
Name:SANDERS, REBECCA R (DC)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:R
Last Name:SANDERS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2061 LOS ENCINOS RD
Mailing Address - Street 2:
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93023-9732
Mailing Address - Country:US
Mailing Address - Phone:716-270-3231
Mailing Address - Fax:516-218-8386
Practice Address - Street 1:2061 LOS ENCINOS RD
Practice Address - Street 2:
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023-9732
Practice Address - Country:US
Practice Address - Phone:716-270-3231
Practice Address - Fax:516-218-8386
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-16
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX012955-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty