Individual
PAULA REBORCHICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1406 SKYLINE DR, R102, JOHNSON CITY, TN 37604-4344
(865) 242-4655
Mailing address
1406 SKYLINE DR, R102, JOHNSON CITY, TN 37604-4344
(865) 242-4655
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
0131001354
VA
224Z00000X
Occupational Therapy Assistant
Primary
8789
NC
225X00000X
Occupational Therapist
C2296
WV
Other
Enumeration date
05/20/2015
Last updated
04/08/2024
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