Provider Demographics
NPI:1831923515
Name:BIRO, REBECCA TERESE (OT)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:TERESE
Last Name:BIRO
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:LISKAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4253 VILAMOURA DR
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:OH
Mailing Address - Zip Code:44011-3753
Mailing Address - Country:US
Mailing Address - Phone:440-610-6089
Mailing Address - Fax:
Practice Address - Street 1:1662 HARRIS RD
Practice Address - Street 2:
Practice Address - City:SHEFFIELD VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44054-2624
Practice Address - Country:US
Practice Address - Phone:440-315-8287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH008261225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist