Provider Demographics
NPI:1447537485
Name:CORRENTE, REBECCA LEE (DPT)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:LEE
Last Name:CORRENTE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:LEE
Other - Last Name:STOCKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:668 EDDY ST STE 1
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4942
Mailing Address - Country:US
Mailing Address - Phone:401-430-7280
Mailing Address - Fax:401-453-7762
Practice Address - Street 1:668 EDDY ST STE 1
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4942
Practice Address - Country:US
Practice Address - Phone:401-430-7280
Practice Address - Fax:401-453-7762
Is Sole Proprietor?:No
Enumeration Date:2011-11-04
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA19131225100000X
RIPT02470225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist