Individual
REBECCA L DEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH2820
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051525129
BCBS
AL
01
—
051525130
BCBS
AL
01
—
51101658
BCBS OF AL
AL
Enumeration date
11/13/2006
Last updated
07/12/2021
Update your record
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