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NPI Code Detail

MEDICARE: MS. PRISCILLA RUBIO OTR

MEDICARE: MS. PRISCILLA RUBIO OTR
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
1225X00000XOccupational Therapist114386TX

General Provider Information

NPI Number : 1083996367
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PRISCILLA RUBIO OTR
Provider Business Mailing Address
First Line : 1020 CORPUS CHRISTI ST
Second Line :
City : LAREDO
State : TX
Zip : 78040-5208
Country : US
Telephone Number : 956-723-5700
Fax Number : 956-723-5706
Provider Business Practice Location Address
First Line : 1020 CORPUS CHRISTI ST
Second Line :
City : LAREDO
State : TX
Zip : 78040-5208
Country : US
Telephone Number : 956-723-5700
Fax Number : 956-723-5706
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2011
Last Update Date : 09/13/2011

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Directions to “ MS. PRISCILLA RUBIO OTR” Practice Location

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