Provider Demographics
NPI:1699984849
Name:MCGRAIL, REBECCA CRAWFORD (MSPT, CSCS)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:CRAWFORD
Last Name:MCGRAIL
Suffix:
Gender:F
Credentials:MSPT, CSCS
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:CRAWFORD
Other - Last Name:DUTTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:14 HARRIS RD
Mailing Address - Street 2:
Mailing Address - City:EAST DOVER
Mailing Address - State:VT
Mailing Address - Zip Code:05341-4404
Mailing Address - Country:US
Mailing Address - Phone:512-809-4941
Mailing Address - Fax:
Practice Address - Street 1:210 ROUTE 9 E
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:VT
Practice Address - Zip Code:05363-9526
Practice Address - Country:US
Practice Address - Phone:830-609-2000
Practice Address - Fax:830-606-4028
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1150049225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist