Individual
ANN RAEBEL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1420 S 8TH ST, ROGERS, AR 72756-5334
(479) 631-7262
(479) 631-6366
Mailing address
PO BOX 2234, ROGERS, AR 72757-2234
(479) 631-7262
(479) 631-6366
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1923
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5T977
BLUE CROSS
AR
Enumeration date
06/22/2006
Last updated
07/08/2007
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