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NPI Code Detail

MEDICARE: REBECCA LYNN RUBIN PT TECH

MEDICARE: REBECCA LYNN RUBIN PT TECH
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1922198852
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA LYNN RUBIN PT TECH
Provider Business Mailing Address
First Line : 10801 E 350 HWY
Second Line :
City : RAYTOWN
State : MO
Zip : 64138-2367
Country : US
Telephone Number : 816-737-5500
Fax Number : 816-737-5504
Provider Business Practice Location Address
First Line : 10801 E 350 HWY
Second Line :
City : RAYTOWN
State : MO
Zip : 64138-2367
Country : US
Telephone Number : 816-737-5500
Fax Number : 816-737-5504
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2006
Last Update Date : 04/30/2010

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Directions to “ REBECCA LYNN RUBIN PT TECH” Practice Location

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