Most Relevant Information
Provider Data
| NPI Number: | 1003659418 |
| Provider Name: | REBECCA PAULK |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT017108 |
Most Important Dates
| Enumeration Date: | 06/13/2024 |
| Last Updated: | 06/13/2024 |
Provider Practice Location
1430 US HIGHWAY 82 W
TIFTON
GA
317938011
Practice Location Phone/Fax
| Phone: | 2294453256 |
| Fax: |
Provider Mailing Location
1430 US HIGHWAY 82 W STE 103
TIFTON
GA
317938010
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |