Provider Demographics
NPI:1114118460
Name:RUBINSHTEYN, ANDREW (OTR)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:RUBINSHTEYN
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21205 YACHT CLUB DR
Mailing Address - Street 2:APT. 406
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-4051
Mailing Address - Country:US
Mailing Address - Phone:718-496-0208
Mailing Address - Fax:
Practice Address - Street 1:21205 YACHT CLUB DR
Practice Address - Street 2:APT. 406
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-4051
Practice Address - Country:US
Practice Address - Phone:718-496-0208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-01
Last Update Date:2007-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT11694225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist