Provider Demographics
NPI:1851184220
Name:ROSA MOJICA, REBECA
Entity type:Individual
Prefix:
First Name:REBECA
Middle Name:
Last Name:ROSA MOJICA
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 1:410 W LEHIGH ST APT 2
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-5441
Mailing Address - Country:US
Mailing Address - Phone:787-479-7815
Mailing Address - Fax:
Practice Address - Street 1:410 W LEHIGH ST APT 2
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-5441
Practice Address - Country:US
Practice Address - Phone:787-479-7815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer