Individual
MS. ELAINE ROSE RUBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1585 MILITARY TURNPIKE EXT, PLATTSBURGH, NY 12901
(518) 561-0100
Mailing address
PO BOX 1688, PLATTSBURGH, NY 12901-4300
(518) 324-6229
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
013053
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NY0908
—
NY
Enumeration date
09/27/2010
Last updated
09/27/2010
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