Individual
JESSICA RUBIANOGROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6440 ALFALFA LN, WAKE FOREST, NC 27587-3040
(954) 646-4997
Mailing address
6440 ALFALFA LN, WAKE FOREST, NC 27587-3040
(954) 646-4997
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17980
NC
Other
Enumeration date
06/29/2021
Last updated
10/08/2025
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