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Individual
CARISSA DEE RUBOTTOM
Active
Individual
CARISSA DEE RUBOTTOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
04535
KS
101YM0800X
Mental Health Counselor
13093
NE
225100000X
Physical Therapist
1093
WY
225100000X
Physical Therapist
11-07480
KS
225100000X
Physical Therapist
2500
NE
Other
Enumeration date
03/16/2007
Last updated
05/30/2025
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