Individual
LISA RUBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3321 ALVARADO DR NE, ALBUQUERQUE, NM 87110-2001
(505) 507-7673
Mailing address
3321 ALVARADO DR NE, ALBUQUERQUE, NM 87110-2001
(505) 507-7673
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0994
NM
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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