Individual
ALYSA RUBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
607 DALE CT W, RIVERVALE, NJ 07675-5908
(201) 456-2577
Mailing address
607 DALE CT W, RIVERVALE, NJ 07675-5908
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005733-1
NY
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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