Individual
REBECCA REXRODE AKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
128 FAYETTE STREET, MARTINSVILLE, VA 24112
(276) 352-4465
(276) 293-1212
Mailing address
260 BONBROOK ROAD, WIRTZ, VA 24184
(434) 319-0454
(276) 293-1212
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
12049254
WV
235Z00000X
Speech-Language Pathologist
Primary
2202006873
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30017546930002
—
VA
05
—
3810007213
—
WV
Enumeration date
03/20/2008
Last updated
09/06/2024
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