Individual
MRS. NICOLE RENEE RUBASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
200 TRIANGLE SHOPPING CTR STE 270, LONGVIEW, WA 98632-4684
(360) 501-3750
(360) 501-3755
Mailing address
142 BULLHEAD DR, CASTLE ROCK, WA 98611-8074
(360) 431-4441
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT61256790
WA
225XN1300X
Neurorehabilitation Occupational Therapist
OT61256790
WA
Other
Enumeration date
08/20/2025
Last updated
09/02/2025
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