Rebecca Declerk, in Bentonville, AR - Occupational Therapy Assistant

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.

Contact Information

	Rebecca Declerk,
	1307 Se 22nd St, Bentonville, AR 72712-6853
	(870) 378-4558
	Not Available

Healthcare Provider's Profile

Full Name	Rebecca Declerk
Gender	Female
Speciality	Occupational Therapy Assistant
Location	1307 Se 22nd St, Bentonville, Arkansas
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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Rebecca Declerk, - in Bentonville, AR