Rebecca Declerk, is a
Occupational Therapy Assistant based in Bentonville, Arkansas. Rebecca Declerk is licensed to practice in Arkansas (license number 1235) and her current practice location is
1307 Se 22nd St, Bentonville, Arkansas. She can be reached at her office (for appointments etc.) via phone at
(870) 378-4558.
NPI number for Rebecca Declerk is 1306383658 and her current mailing address is 22516 E Creosote Dr, Queen Creek, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306383658.
Healthcare Provider's Profile
Full Name | Rebecca Declerk |
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Gender | Female |
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Speciality | Occupational Therapy Assistant |
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Location | 1307 Se 22nd St, Bentonville, Arkansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306383658
- Provider Enumeration Date: 01/25/2017
- Last Update Date: 05/24/2021
Medical Identifiers
Medical identifiers for Rebecca Declerk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306383658 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 6765 (Arizona) | Secondary |
224Z00000X | Occupational Therapy Assistant | 1235 (Arkansas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rebecca Declerk is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Rebecca Declerk, 22516 E Creosote Dr, Queen Creek, AZ 85142-8530 Ph: (870) 378-4558 | Rebecca Declerk, 1307 Se 22nd St, Bentonville, AR 72712-6853 Ph: (870) 378-4558 |
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