MEDICARE: MRS. RHEEA DE LOS REYES RUBIO 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	225100000X	Physical Therapist	PT26503	CA

General Provider Information

NPI Number	:	1649422817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RHEEA DE LOS REYES RUBIO DPT

Provider Business Mailing Address
First Line	:	21806 PINTO WAY
Second Line	:
City	:	WALNUT
State	:	CA
Zip	:	91789-1491
Country	:	US
Telephone Number	:	818-468-4100
Fax Number	:	866-521-3578

Provider Business Practice Location Address
First Line	:	537 E VINE AVE
Second Line	:	SUITE A
City	:	WEST COVINA
State	:	CA
Zip	:	91790-5102
Country	:	US
Telephone Number	:	818-468-4100
Fax Number	:	866-521-3578

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

Provider Enumeration Date	:	10/18/2008
Last Update Date	:	02/18/2009

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