Provider Demographics
NPI:1669610903
Name:REBLING, ANN FREDERICK (PT)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:FREDERICK
Last Name:REBLING
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:523 N UNION ST
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46074-9462
Mailing Address - Country:US
Mailing Address - Phone:317-896-5858
Mailing Address - Fax:
Practice Address - Street 1:523 N UNION ST
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:IN
Practice Address - Zip Code:46074-9462
Practice Address - Country:US
Practice Address - Phone:317-896-5858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-24
Last Update Date:2009-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05000580A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist