Individual
TESSA RUBIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1145 BRIGHTON AVE, PORTLAND, ME 04102-1025
(207) 541-6500
Mailing address
615 HEATH ST, CHESTNUT HILL, MA 02467-2160
(570) 902-5375
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
605939
MA
235Z00000X
Speech-Language Pathologist
Primary
SP3390
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP3390
STATE OF MAINE
ME
Enumeration date
08/12/2020
Last updated
12/16/2024
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