Stanford, Rebecca
Stanford, Rebecca is an individual health care provider with primary practice located at 431 Remington Blvd , Bolingbrook IL 60440-4918. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Stanford, Rebecca can be contacted via phone (630) 759-1112.Contact Information
Primary practice address
431 Remington Blvd
Bolingbrook IL 60440-4918
Phone: (630) 759-1112
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 160007985 | Illinois |
Profile Details
| NPI number | 1851035067 |
|---|---|
| LBN Legal business name | Stanford, Rebecca |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2022 |
| Last updated | Apr 24th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851035067 | NPPES |
| Illinois | Other | 160007985 | PHYSICAL THERAPY ASSISTANT |
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