Rubin, Jill Amy

Rubin, Jill Amy is an sole proprietor health care provider with primary practice located at 137 Birchmont Drive , Deland FL 32724-0000. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Rubin, Jill Amy can be contacted via phone (954) 600-9836.

Contact Information

Primary practice address
137 Birchmont Drive Deland FL 32724-0000
Phone: (954) 600-9836
Fax: (386) 775-9835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6160 Florida

Profile Details

NPI number 1679619530
LBN Legal business name Rubin, Jill Amy
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2007
Last updated Aug 26th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679619530 NPPES
Florida MEDICAID 890343300

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