Provider Demographics
NPI:1720792930
Name:HRVATIN, REBECCA ANNE (PT)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:ANNE
Last Name:HRVATIN
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 1:416 SIMPSON HOWELL RD
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:PA
Mailing Address - Zip Code:15037-2816
Mailing Address - Country:US
Mailing Address - Phone:412-715-2321
Mailing Address - Fax:
Practice Address - Street 1:416 SIMPSON HOWELL RD
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:PA
Practice Address - Zip Code:15037-2816
Practice Address - Country:US
Practice Address - Phone:412-715-2321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT020845225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist