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Individual

MARILYN CARROL RUBIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
11960 WESTLINE INDUSTRIAL DR, SUITE 201, SAINT LOUIS, MO 63146-3209
(314) 819-0480
Mailing address
1095 HIDDEN RIDGE TRL, VALLEY PARK, MO 63088-1171
(314) 680-6040

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01022
MO
225100000X
Physical Therapist
070.016091
IL

Other

Enumeration date
06/16/2016
Last updated
06/16/2016
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