Provider Demographics
NPI:1598803918
Name:RUBIN, LYNN S (PT)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:S
Last Name:RUBIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5411 W CEDAR LN
Mailing Address - Street 2:SUITE 105A
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-1516
Mailing Address - Country:US
Mailing Address - Phone:301-564-4040
Mailing Address - Fax:301-564-3604
Practice Address - Street 1:5411 W CEDAR LN
Practice Address - Street 2:SUITE 105A
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-1516
Practice Address - Country:US
Practice Address - Phone:301-564-4040
Practice Address - Fax:301-564-3604
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD17582225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist