Provider Demographics
NPI:1487961363
Name:HUNTER, REBECCA LEE
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:LEE
Last Name:HUNTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24863 DEL PRADO
Mailing Address - Street 2:
Mailing Address - City:DANA POINT
Mailing Address - State:CA
Mailing Address - Zip Code:92629-2853
Mailing Address - Country:US
Mailing Address - Phone:949-489-8200
Mailing Address - Fax:949-429-5686
Practice Address - Street 1:24863 DEL PRADO
Practice Address - Street 2:
Practice Address - City:DANA POINT
Practice Address - State:CA
Practice Address - Zip Code:92629-2853
Practice Address - Country:US
Practice Address - Phone:949-489-8200
Practice Address - Fax:949-429-5686
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA000103225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist