Provider Demographics
NPI:1801088414
Name:HAHN, REBECCA SUSAN (DPT)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:SUSAN
Last Name:HAHN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:REBECCA
Other - Middle Name:SUSAN
Other - Last Name:FLEMING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1500 HORIZON DR
Mailing Address - Street 2:SUITE 102E
Mailing Address - City:CHALFONT
Mailing Address - State:PA
Mailing Address - Zip Code:18914-3966
Mailing Address - Country:US
Mailing Address - Phone:215-712-0300
Mailing Address - Fax:215-712-9040
Practice Address - Street 1:1500 HORIZON DR
Practice Address - Street 2:SUITE 102E
Practice Address - City:CHALFONT
Practice Address - State:PA
Practice Address - Zip Code:18914-3966
Practice Address - Country:US
Practice Address - Phone:215-712-0300
Practice Address - Fax:215-712-9040
Is Sole Proprietor?:No
Enumeration Date:2007-08-16
Last Update Date:2007-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT017612225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist