Petrovich, Rebecca

Petrovich, Rebecca is an individual health care provider with primary practice located at 11732 Lake Lucaya Dr , Riverview FL 33579-4126. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Petrovich, Rebecca can be contacted via phone (954) 895-6151.

Contact Information

Primary practice address
11732 Lake Lucaya Dr Riverview FL 33579-4126
Phone: (954) 895-6151
Fax: (813) 566-0318
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OTT15540 Florida

Profile Details

NPI number 1457690067
LBN Legal business name Petrovich, Rebecca
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2013
Last updated Apr 15th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457690067 NPPES
Florida MEDICAID 008113700

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