Provider Demographics
NPI:1740001874
Name:DOWNS, REBECCA MARIA (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:MARIA
Last Name:DOWNS
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:MARIA
Other - Last Name:WENIGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:205 N 74TH ST UNIT 222
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85207-7420
Mailing Address - Country:US
Mailing Address - Phone:216-777-9294
Mailing Address - Fax:
Practice Address - Street 1:6960 E BROADWAY RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85208-1916
Practice Address - Country:US
Practice Address - Phone:480-807-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTH-009811225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist