Basic Information
| Provider Information | |||||||||
| NPI: | 1295915940 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CARSTENS | ||||||||
| FirstName: | REBECCA | ||||||||
| MiddleName: | ELLEN | ||||||||
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| Credential: | PHYSICAL THERAPIST | ||||||||
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| Mailing Information | |||||||||
| Address1: | 716 ODEN ST | ||||||||
| Address2: | |||||||||
| City: | CONFLUENCE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 154241036 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8143953835 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7 WALL ST | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | WINDHAM | ||||||||
| State: | NH | ||||||||
| PostalCode: | 030871663 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6038934515 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/10/2007 | ||||||||
| LastUpdateDate: | 11/10/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 8586 | NC | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 225100000X | 40QA00947400 | NJ | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | 225100000X | PT016160 | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.