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Individual

AMANDA MORGAN RUBIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
50 DEERFIELD RD, MORGANVILLE, NJ 07751-2632
(732) 539-5996
Mailing address
50 DEERFIELD RD, MORGANVILLE, NJ 07751-2632
(732) 539-5996

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
023368
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
023368
NYS OT LICENSURE
NY
Enumeration date
03/04/2019
Last updated
03/04/2019
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