Individual
ERIN RUBANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4106 OGLETOWN STANTON RD, NEWARK, DE 19713-4169
(302) 894-1600
(302) 894-1601
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-3251
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
U10000946
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11353334
CAQH
—
01
—
1326092719
CHAMPUS TRICARE
—
05
—
1326092719
—
DE
01
—
2856756000
AMERIHEALTH/IBC
—
01
—
5070-0093
CARE FIRST
MD
01
—
88760504
CARE FIRST
MD
Enumeration date
05/20/2006
Last updated
03/22/2013
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