Individual
KIMBERLY RUBIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1627 4TH ST, PERU, IL 61354-3507
(815) 223-4479
(815) 223-4489
Mailing address
PO BOX 764, CHANNAHON, IL 60410
(815) 223-4479
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056002804
IL
Other
Enumeration date
05/20/2008
Last updated
11/25/2009
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