Provider Demographics
NPI:1447535992
Name:RANKIN, REBECCA B (CF-SLP)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:B
Last Name:RANKIN
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:MS
Other - First Name:REBECCA
Other - Middle Name:L
Other - Last Name:BURGGRABE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13058 SUNKISS LOOP
Mailing Address - Street 2:
Mailing Address - City:WINDERMERE
Mailing Address - State:FL
Mailing Address - Zip Code:34786-3157
Mailing Address - Country:US
Mailing Address - Phone:407-697-0066
Mailing Address - Fax:
Practice Address - Street 1:3305 S ORANGE AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-6125
Practice Address - Country:US
Practice Address - Phone:407-852-3360
Practice Address - Fax:407-852-3301
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-17
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ5629235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist