Provider Demographics
NPI:1720833999
Name:WOOD, REBECCA GAY
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:GAY
Last Name:WOOD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14270 BECKY LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:OH
Mailing Address - Zip Code:43050-9025
Mailing Address - Country:US
Mailing Address - Phone:740-398-7463
Mailing Address - Fax:
Practice Address - Street 1:14270 BECKY LN
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:OH
Practice Address - Zip Code:43050-9025
Practice Address - Country:US
Practice Address - Phone:740-398-7463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care