# REBECCA A. DEMOREST

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1891875522
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080S0010X | Pediatric Sports Medicine Physician | 2011-00001 | NC | Yes |
| 2080S0010X | Pediatric Sports Medicine Physician | A105742 | CA | — |
| 2080S0010X | Pediatric Sports Medicine Physician | MD034832 | DC | — |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 07/29/2021