Individual
MS. REBECCA ANNE MCFADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
10587 DOUBLE R BLVD, RENO, NV 89521-8909
(775) 324-5371
(775) 852-5373
Mailing address
PO BOX 7523, TAHOE CITY, CA 96145-7523
(530) 581-3813
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
0688
NV
2251P0200X
Pediatric Physical Therapist
16414
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XPT000400
—
CA
Enumeration date
10/24/2006
Last updated
07/09/2007
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