Provider Demographics
NPI:1295915940
Name:CARSTENS, REBECCA ELLEN (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:ELLEN
Last Name:CARSTENS
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 ODEN ST
Mailing Address - Street 2:
Mailing Address - City:CONFLUENCE
Mailing Address - State:PA
Mailing Address - Zip Code:15424-1036
Mailing Address - Country:US
Mailing Address - Phone:814-395-3835
Mailing Address - Fax:
Practice Address - Street 1:7 WALL ST
Practice Address - Street 2:SUITE 100
Practice Address - City:WINDHAM
Practice Address - State:NH
Practice Address - Zip Code:03087-1663
Practice Address - Country:US
Practice Address - Phone:603-893-4515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-10
Last Update Date:2007-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8586225100000X
NJ40QA00947400225100000X
PAPT016160225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist