Provider Demographics
NPI:1649020306
Name:REBARCHICK, DANA (WELLNESS COACH)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:REBARCHICK
Suffix:
Gender:F
Credentials:WELLNESS COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22803 GUNSTON DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20653-6317
Mailing Address - Country:US
Mailing Address - Phone:301-904-1795
Mailing Address - Fax:
Practice Address - Street 1:22803 GUNSTON DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON PARK
Practice Address - State:MD
Practice Address - Zip Code:20653-6317
Practice Address - Country:US
Practice Address - Phone:301-904-1795
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach