Provider Demographics
NPI:1649422817
Name:RUBIO, RHEEA DE LOS REYES (DPT)
Entity Type:Individual
Prefix:MRS
First Name:RHEEA
Middle Name:DE LOS REYES
Last Name:RUBIO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21806 PINTO WAY
Mailing Address - Street 2:
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-1491
Mailing Address - Country:US
Mailing Address - Phone:818-468-4100
Mailing Address - Fax:866-521-3578
Practice Address - Street 1:537 E VINE AVE
Practice Address - Street 2:SUITE A
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91790-5102
Practice Address - Country:US
Practice Address - Phone:818-468-4100
Practice Address - Fax:866-521-3578
Is Sole Proprietor?:No
Enumeration Date:2008-10-18
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT26503225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist