Provider Demographics
NPI:1417081910
Name:MARSCHAND, REBEKKAH L
Entity type:Individual
Prefix:
First Name:REBEKKAH
Middle Name:L
Last Name:MARSCHAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 N COUNTY ROAD 200 E
Mailing Address - Street 2:
Mailing Address - City:CONNERSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47331-8213
Mailing Address - Country:US
Mailing Address - Phone:765-309-6228
Mailing Address - Fax:765-825-9492
Practice Address - Street 1:295 N COUNTY ROAD 200 E
Practice Address - Street 2:
Practice Address - City:CONNERSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47331-8213
Practice Address - Country:US
Practice Address - Phone:765-309-6228
Practice Address - Fax:765-825-9492
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist