Provider Demographics
NPI:1720635352
Name:ABKOWITZ, REBECCA (MS, LAT, ATC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:ABKOWITZ
Suffix:
Gender:F
Credentials:MS, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 LAYDON LN
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-1169
Mailing Address - Country:US
Mailing Address - Phone:512-743-6257
Mailing Address - Fax:
Practice Address - Street 1:4851 N TWIN VALLEY RD
Practice Address - Street 2:
Practice Address - City:ELVERSON
Practice Address - State:PA
Practice Address - Zip Code:19520-9340
Practice Address - Country:US
Practice Address - Phone:610-286-8577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-19
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART0066972255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer