Individual
REBECCA LYNN SLOCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
177 WHITEWOOD RD, WATERBURY, CT 06708-1545
(716) 864-5753
Mailing address
2 MOUNTAINVIEW TER, APPT. #1331, DANBURY, CT 06810-4163
(716) 864-5753
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008114
CT
225100000X
Physical Therapist
029094
NY
225100000X
Physical Therapist
22179
MD
225100000X
Physical Therapist
23783
FL
225100000X
Physical Therapist
PT018696
PA
Other
Enumeration date
03/22/2007
Last updated
05/18/2008
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