Provider Demographics
NPI:1962050054
Name:RECTOR, BARBARA UNGER (PT)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:UNGER
Last Name:RECTOR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:BOBBI
Other - Middle Name:UNGER
Other - Last Name:RECTORO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:6911 N LONGVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:WI
Mailing Address - Zip Code:53209-2917
Mailing Address - Country:US
Mailing Address - Phone:414-704-7901
Mailing Address - Fax:414-540-0284
Practice Address - Street 1:6911 N LONGVIEW AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:WI
Practice Address - Zip Code:53209-2917
Practice Address - Country:US
Practice Address - Phone:414-704-7901
Practice Address - Fax:414-540-0284
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-31
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI9763-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist