Individual
STEPHEN LEONARD RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13975 MANCHESTER RD STE 2, BALLWIN, MO 63011-4500
(636) 336-8115
Mailing address
3740 BADEN ST, SAINT CHARLES, MO 63301-8025
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2024026570
MO
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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