Individual ProviderRebecca Diane FortuneOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2025 Hayes Ave, Sandusky, OH 44870-4739(419) 627-2273(419) 602-7153PECOS EnrollmentBased on the most recent information from CMS, provider Rebecca Diane Fortune does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1003561119Provider TypeIndividualFull NameFortune, Rebecca DianeTitleMrs.CredentialOTR/LGenderFemaleSole ProprietorYesEnumeration Date2/16/2022Last Updated2/18/2022Contact InformationPractice LocationPractice Address2025 Hayes Ave, Sandusky, OH 44870-4739Phone(419) 627-2273FaxUnlisted FaxMailing LocationMailing Address1208 Wickford Pl, Huron, OH 44839-1467Phone(419) 602-7153FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseOT-3097Ohio