Provider Demographics
NPI:1720074867
Name:HEIN, REBECCA R (OTR/L)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:R
Last Name:HEIN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:R
Other - Last Name:NOYES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1720 S CLIFF AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-2129
Mailing Address - Country:US
Mailing Address - Phone:605-334-5630
Mailing Address - Fax:605-332-5327
Practice Address - Street 1:1530 ROWE AVE
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:MN
Practice Address - Zip Code:56187-9700
Practice Address - Country:US
Practice Address - Phone:507-372-2232
Practice Address - Fax:507-372-7326
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01328225X00000X
MN101020225X00000X
SD0440225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN64-03582OtherMEDICA
SD834473OtherARAZ
MN64-03862OtherMEDICA
MN7746OtherAVERA HEALTH PLANS
MN834473OtherARAZ
MN20593OtherSIOUX VALLEY HEALTH PLANS
MN64-01477OtherMEDICA
MN64-04222OtherMEDICA
MN64-05338OtherMEDICA
MN9G903HEOtherBLUE CROSS BLUE SHIELD MN