Individual
JENNA RUBIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
840 SE OSCEOLA ST, STUART, FL 34994-2432
(772) 291-1614
Mailing address
11375 SW DISCOVERY WAY APT 206, PORT SAINT LUCIE, FL 34987-2567
(386) 848-7507
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA18161
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA18161
OCCUPATIONAL THERAPY ASSISTANT
FL
Enumeration date
12/08/2022
Last updated
12/08/2022
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