Provider Demographics
NPI:1811910771
Name:DUBAY, REBECCA S (PT)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:S
Last Name:DUBAY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:REBECCA
Other - Middle Name:S
Other - Last Name:RAND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:73 ELM ST
Mailing Address - Street 2:PO BOX 611
Mailing Address - City:NORTH BERWICK
Mailing Address - State:ME
Mailing Address - Zip Code:03906-6724
Mailing Address - Country:US
Mailing Address - Phone:207-676-9596
Mailing Address - Fax:207-676-9707
Practice Address - Street 1:73 ELM ST
Practice Address - Street 2:
Practice Address - City:NORTH BERWICK
Practice Address - State:ME
Practice Address - Zip Code:03906-6724
Practice Address - Country:US
Practice Address - Phone:207-676-9596
Practice Address - Fax:207-676-9707
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2017-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT2960225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME121170036Medicaid
ME121170036Medicaid