Individual
MALLORY RUBENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 EXECUTIVE WAY, PONTE VEDRA BEACH, FL 32082-2771
(904) 834-2482
Mailing address
1439 KENDALL DR, JACKSONVILLE, FL 32211-8142
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
20416
FL
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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