Provider Demographics
NPI:1417948050
Name:WALIMA ALLRED, REBECCA L (PT DPT)
Entity type:Individual
Prefix:MISS
First Name:REBECCA
Middle Name:L
Last Name:WALIMA ALLRED
Suffix:
Gender:F
Credentials:PT DPT
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:WALIMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:319 NEWBURYPORT TPKE
Mailing Address - Street 2:
Mailing Address - City:ROWLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01969-1753
Mailing Address - Country:US
Mailing Address - Phone:978-948-2946
Mailing Address - Fax:
Practice Address - Street 1:319 NEWBURYPORT TPKE
Practice Address - Street 2:
Practice Address - City:ROWLEY
Practice Address - State:MA
Practice Address - Zip Code:01969-1753
Practice Address - Country:US
Practice Address - Phone:978-948-2946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA169902251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY69614Medicare ID - Type UnspecifiedPHYSICAL THERAPIST