Provider Demographics
NPI:1306506910
Name:VLAHOS, REBECCA (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:
Last Name:VLAHOS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3050 PERIMETER BLVD APT 103
Mailing Address - Street 2:
Mailing Address - City:SOUTH PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15129-5548
Mailing Address - Country:US
Mailing Address - Phone:412-477-2237
Mailing Address - Fax:
Practice Address - Street 1:3050 PERIMETER BLVD APT 103
Practice Address - Street 2:
Practice Address - City:SOUTH PARK
Practice Address - State:PA
Practice Address - Zip Code:15129-5548
Practice Address - Country:US
Practice Address - Phone:412-477-2237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-22
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty