Provider Demographics
NPI:1629202452
Name:RUBSAM, CATHERINE DONOGHUE (PT)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:DONOGHUE
Last Name:RUBSAM
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 1:8 W WILLETS DR
Mailing Address - Street 2:
Mailing Address - City:RED HOOK
Mailing Address - State:NY
Mailing Address - Zip Code:12571-2426
Mailing Address - Country:US
Mailing Address - Phone:845-758-1122
Mailing Address - Fax:
Practice Address - Street 1:8 W WILLETS DR
Practice Address - Street 2:
Practice Address - City:RED HOOK
Practice Address - State:NY
Practice Address - Zip Code:12571-2426
Practice Address - Country:US
Practice Address - Phone:845-758-1122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-07
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006093-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist