Individual ProviderRebecca L HarroldOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address1619 NW Hawthorne Ave, Suite 109, Grants Pass, OR 97526-6008(541) 476-2502PECOS EnrollmentBased on the most recent information from CMS, provider Rebecca L Harrold 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 ID1639155344Provider TypeIndividualFull NameHarrold, Rebecca LCredentialOTR/LGenderFemaleEnumeration Date12/15/2005Last Updated7/8/2007Contact InformationPractice LocationPractice Address1619 NW Hawthorne Ave, Suite 109, Grants Pass, OR 97526-6008Phone(541) 476-2502Fax(541) 476-2397Mailing LocationMailing Address1619 NW Hawthorne Ave, Suite 109, Grants Pass, OR 97526-6008Phone(541) 476-2502Fax(541) 476-2397Provider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense991715OregonProvider IdentifiersIDDescriptionIssuerID123534DescriptionMedicaidIssuerUnlistedOregonIDR102653DescriptionOtherIssuerGROUP MEDICAREOregon