MEDICARE: MISS DANIELLE REUBEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	5025	AZ

General Provider Information

NPI Number	:	1003189572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS DANIELLE REUBEN

Provider Business Mailing Address
First Line	:	1785 BAY RD
Second Line	:
City	:	MILFORD
State	:	DE
Zip	:	19963-6132
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 N FEDERAL HWY
Second Line	:	SUITE 1122
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33301-1129
Country	:	US
Telephone Number	:	954-594-4267
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/14/2012
Last Update Date	:	02/14/2012

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Directions to “ MISS DANIELLE REUBEN ” Practice Location

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