Provider Demographics
NPI:1366002529
Name:UBRY, REBECCA JANE (OT/L)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:JANE
Last Name:UBRY
Suffix:
Gender:F
Credentials:OT/L
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:JANE
Other - Last Name:BURGESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5 LYN CT
Mailing Address - Street 2:
Mailing Address - City:TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-5501
Mailing Address - Country:US
Mailing Address - Phone:410-652-8316
Mailing Address - Fax:
Practice Address - Street 1:5 LYN CT
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-5501
Practice Address - Country:US
Practice Address - Phone:410-652-8316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-19
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEU1-0002178225X00000X
NC12575225X00000X
225X00000X
MD09235225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist