Provider Demographics
NPI:1235020074
Name:REDMAN, REBECCA (OTD)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:REDMAN
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5898 GRAND CANYON AVE
Mailing Address - Street 2:
Mailing Address - City:SAN PABLO
Mailing Address - State:CA
Mailing Address - Zip Code:94806-4238
Mailing Address - Country:US
Mailing Address - Phone:805-551-2322
Mailing Address - Fax:
Practice Address - Street 1:2855 TELEGRAPH AVE STE 301
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-1153
Practice Address - Country:US
Practice Address - Phone:805-551-2322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27918225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation