Provider Demographics
NPI:1720291057
Name:REHL, FRANCES WIMBERLY (COTA L)
Entity Type:Individual
Prefix:MRS
First Name:FRANCES
Middle Name:WIMBERLY
Last Name:REHL
Suffix:
Gender:F
Credentials:COTA L
Other - Prefix:MRS
Other - First Name:FRANCES
Other - Middle Name:SMITH
Other - Last Name:BRYAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA L
Mailing Address - Street 1:1619 KARA COURT
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-2052
Mailing Address - Country:US
Mailing Address - Phone:910-426-5215
Mailing Address - Fax:
Practice Address - Street 1:300 WEST 27TH STREET
Practice Address - Street 2:INPATIENT REHAB
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-3075
Practice Address - Country:US
Practice Address - Phone:910-671-5000
Practice Address - Fax:910-671-5518
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3230224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant