Individual
REBECCA R O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
550 N SPRING ST, SPARTA, TN 38583-1330
(931) 837-2221
Mailing address
550 N SPRING ST, SPARTA, TN 38583-1330
(931) 837-2221
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14083
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014220610001
—
PA
01
—
1771606
HIGHMARK
PA
01
—
268312
HEALTH AMERICA
PA
Enumeration date
12/01/2006
Last updated
06/28/2023
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