Individual
DANIELLE RUBEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16820 MACANTHRA DR, CHARLOTTE, NC 28213-4879
(704) 807-5699
Mailing address
16820 MACANTHRA DR, CHARLOTTE, NC 28213-4879
(704) 807-5699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P13806
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P13806
NC PT LICENSE
NC
Enumeration date
05/17/2014
Last updated
05/17/2014
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