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Individual
REBECCA GARTELL
Active
Individual
REBECCA GARTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA9902
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016077700
—
FL
01
—
72YHC
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/14/2015
Last updated
02/10/2016
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