| Doctor Name: | MRS. REBECCA L PAGOTELIS |
| NPI Number: | 1225015753 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 5138 |
| Business Practice Address: | 23327 East Appleway Suite 106 Liberty Lake, WA - 990195038 |
| Business Phone Number: | 5098912258 |
| Business Fax Number: | 5098912094 |
| Mailing Address: | 11481 Sw Hall Blvd, Ste 201 PORTLAND |
| State: | OR |
| Postal Code: | 972238403 |
| Phone Number: | 8002198835 |
| Fax Number: | 5034431402 |
| NPI Enumeration Date: | 12/27/2005 |
| NPI Last Update Date: | 11/03/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5138 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| 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 |