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NPI Code Detail

MEDICARE: AMANDA MORGAN RUBIN OTR/L

MEDICARE:   AMANDA MORGAN RUBIN  OTR/L
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 Therapist023368NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1023368OTHERNYNYS OT LICENSURE

General Provider Information

NPI Number : 1124586656
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA MORGAN RUBIN OTR/L
Provider Business Mailing Address
First Line : 50 DEERFIELD RD
Second Line :
City : MORGANVILLE
State : NJ
Zip : 07751-2632
Country : US
Telephone Number : 732-539-5996
Fax Number :
Provider Business Practice Location Address
First Line : 50 DEERFIELD RD
Second Line :
City : MORGANVILLE
State : NJ
Zip : 07751-2632
Country : US
Telephone Number : 732-539-5996
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2019
Last Update Date : 03/04/2019

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