Provider Demographics
NPI:1770918427
Name:HOBBY, REBECCA GAYLOR (MS OTR/L)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:GAYLOR
Last Name:HOBBY
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 OLDE TOWNE RD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31410-5143
Mailing Address - Country:US
Mailing Address - Phone:912-667-2456
Mailing Address - Fax:
Practice Address - Street 1:313 OLDE TOWNE RD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31410-5143
Practice Address - Country:US
Practice Address - Phone:912-667-2456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-12
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT002994225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAOT002994OtherGA LICENSE