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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REBECCA A FORKAN, P.T.

Active Sole Proprietor

REBECCA A FORKAN, P.T. is a Environmental Modification (OT) healthcare provider located in SHORELINE, Washington. NPI 1629192497 is currently active in the NPPES registry. Verify at CMS.

Environmental Modification (OT) · SHORELINE, WA

Registration Details

NPI Number
1629192497
Provider Type
Individual
Gender
Female
NPI Issued
Mar 19, 2007 (19.422846815849 yrs)
Last Updated
Jan 3, 2017
Licenses
PT00009853 (WA)
PT00009853 (WA)
Sole Proprietor
Yes

Practice Information

Address
20109 AURORA AVE N STE 105
SHORELINE, WA, 981333127
Browse WA providers · Browse ZIP 98133
Phone
2068017546
Fax
2068017547
Primary Specialty
Environmental Modification (OT)
2251S0007X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.