Provider Demographics
NPI:1700443892
Name:CYLICH, REBECCA (MOT)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:CYLICH
Suffix:
Gender:F
Credentials:MOT
Other - Prefix:
Other - First Name:RIVKA
Other - Middle Name:
Other - Last Name:CYLICH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MOT
Mailing Address - Street 1:7770 E ILIFF AVE STE C
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-5326
Mailing Address - Country:US
Mailing Address - Phone:303-333-8360
Mailing Address - Fax:
Practice Address - Street 1:7770 E ILIFF AVE STE C
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-5326
Practice Address - Country:US
Practice Address - Phone:303-333-8360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-23
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0005928225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics