Healthcare Provider Details

I. General information

NPI: 1477634657
Provider Name (Legal Business Name): MARI ANGELA RUB-FERRELL OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARI ANGELA RUB OTR/L

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 4TH ST MCKINLEY MTU
BAKERSFIELD CA
93304
US

IV. Provider business mailing address

2908 CATALINA DR
BAKERSFIELD CA
93306-2374
US

V. Phone/Fax

Practice location:
  • Phone: 661-868-7270
  • Fax: 661-869-2726
Mailing address:
  • Phone: 661-872-2711
  • Fax: 866-235-0943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberAA481788
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: