MEDICARE: YAFFA RACHEL RUBIN MS 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
1	174400000X	Specialist		NY
2	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1609207703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YAFFA RACHEL RUBIN MS OTR/L

Provider Business Mailing Address
First Line	:	2827 SAN GABRIEL ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78705-3530
Country	:	US
Telephone Number	:	646-886-7323
Fax Number	:

Provider Business Practice Location Address
First Line	:	2827 SAN GABRIEL ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78705-3530
Country	:	US
Telephone Number	:	646-886-7323
Fax Number	:

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

Provider Enumeration Date	:	11/28/2013
Last Update Date	:	11/18/2020

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