Provider Demographics
NPI:1477634657
Name:RUB-FERRELL, MARI ANGELA (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:MARI
Middle Name:ANGELA
Last Name:RUB-FERRELL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MRS
Other - First Name:MARI
Other - Middle Name:ANGELA
Other - Last Name:RUB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:2908 CATALINA DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-2374
Mailing Address - Country:US
Mailing Address - Phone:661-872-2711
Mailing Address - Fax:866-235-0943
Practice Address - Street 1:601 4TH ST
Practice Address - Street 2:MCKINLEY MTU
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93304
Practice Address - Country:US
Practice Address - Phone:661-868-7270
Practice Address - Fax:661-869-2726
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAA481788225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist