Individual
REBECCAH ANN ISOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRS
Contact information
Practice address
4705 STATE RD, CLEVELAND, OH 44109-5244
(440) 468-6550
Mailing address
3710 CYPRESS AVE, CLEVELAND, OH 44109-4802
(440) 503-3087
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
006811
OH
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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