Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | PT00008035 | WA |
NPI | 1093796849 |
---|---|
Provider Name | Ms. Sun K Rubin |
First Address | Seattle, WA 98122-5395 |
Second Address | Seattle, WA 98122-5395 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2005 |
Last Update Date | 16/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
US7180217 | AETNA PCP PIN VM (01) | WA |