Golladay, Rebecca L

Golladay, Rebecca L is an individual health care provider with primary practice located at 212 Edwards Dr , Normal IL 61761-2334. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Golladay, Rebecca L can be contacted via phone (309) 824-7417.

Contact Information

Primary practice address
212 Edwards Dr Normal IL 61761-2334
Phone: (309) 824-7417
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 5657 North Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 056006902 Illinois

Profile Details

NPI number 1720284151
LBN Legal business name Golladay, Rebecca L
Credentials OTR-L
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2007
Last updated Feb 14th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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