Provider Demographics
NPI:1649492158
Name:STRICKLAND, REBEKAH GRACE (MS, OTR-L)
Entity type:Individual
Prefix:MRS
First Name:REBEKAH
Middle Name:GRACE
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:MS, OTR-L
Other - Prefix:MS
Other - First Name:REBEKAH
Other - Middle Name:GRACE
Other - Last Name:GREGORY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTR-L
Mailing Address - Street 1:5406 S 45TH CT
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-8311
Mailing Address - Country:US
Mailing Address - Phone:479-621-1599
Mailing Address - Fax:
Practice Address - Street 1:5406 S 45TH CT
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-8311
Practice Address - Country:US
Practice Address - Phone:479-621-1599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR2085225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR162133721Medicaid
AR5A068Medicare UPIN