Provider Demographics
NPI:1780922153
Name:YAZBECK, REJINA ANN (OTR/L)
Entity type:Individual
Prefix:
First Name:REJINA
Middle Name:ANN
Last Name:YAZBECK
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 HEMINGWAY DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-3311
Mailing Address - Country:US
Mailing Address - Phone:585-705-7966
Mailing Address - Fax:
Practice Address - Street 1:1700 ROCKVILLE PIKE
Practice Address - Street 2:SUITE 400
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1631
Practice Address - Country:US
Practice Address - Phone:301-998-6584
Practice Address - Fax:202-521-1808
Is Sole Proprietor?:No
Enumeration Date:2013-01-19
Last Update Date:2013-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119005695225X00000X
FL43109225X00000X
MD07018225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist