MEDICARE: DR. REBECCA REUBENS PT, DPT

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	172V00000X	Community Health Worker	PT 8997	FL

General Provider Information

NPI Number	:	1356704761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REBECCA REUBENS PT, DPT

Provider Business Mailing Address
First Line	:	5053 WOODSTONE CIR N
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-5821
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5053 WOODSTONE CIR N
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-5821
Country	:	US
Telephone Number	:	561-951-0778
Fax Number	:

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

Provider Enumeration Date	:	04/02/2016
Last Update Date	:	04/02/2016

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