Provider Demographics
NPI:1902060023
Name:ARCE, REBECCA WALLAS (DPT)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:WALLAS
Last Name:ARCE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2140 ROYAL BERRY CT
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-7518
Mailing Address - Country:US
Mailing Address - Phone:919-267-4116
Mailing Address - Fax:
Practice Address - Street 1:1500 MONZA AVENUE
Practice Address - Street 2:SUITE 350
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-3005
Practice Address - Country:US
Practice Address - Phone:305-740-6001
Practice Address - Fax:305-740-6998
Is Sole Proprietor?:No
Enumeration Date:2008-07-17
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCPT12208225100000X
FLPT24135225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist