Provider Demographics
NPI:1144649633
Name:MAEL, REBECCA ALIZA
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:ALIZA
Last Name:MAEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 OCEAN PKWY
Mailing Address - Street 2:APT 1L
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-6456
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1500 OCEAN PKWY
Practice Address - Street 2:APT 1L
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-6456
Practice Address - Country:US
Practice Address - Phone:773-896-8583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-10
Last Update Date:2014-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist