Individual
ALISA RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 PINE CIR, BOCA RATON, FL 33432-3648
(561) 361-0307
(561) 393-6903
Mailing address
130 PINE CIR, BOCA RATON, FL 33432-3648
(561) 361-0307
(561) 393-6903
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
SA4076
FL
235Z00000X
Speech-Language Pathologist
Primary
SA4076
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890829000
—
FL
Enumeration date
05/01/2007
Last updated
12/05/2011
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