Doctor Name: | REBECCA CRISTINE MCCRACKEN |
NPI Number: | 1093825960 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT21556 |
Business Practice Address: | 900 N Swallowtail Dr Suite 107 Port Orange, FL - 321296102 |
Business Phone Number: | 3863224641 |
Business Fax Number: | 3863224677 |
Mailing Address: | 3900 Yorktowne Blvd, Apt 5802 PORT ORANGE |
State: | FL |
Postal Code: | 321296008 |
Phone Number: | 3865627233 |
Fax Number: | |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT21556 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |