Provider Demographics
NPI:1760636245
Name:RUBE, SONDRA GAIL (PT)
Entity Type:Individual
Prefix:
First Name:SONDRA
Middle Name:GAIL
Last Name:RUBE
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 1:7252 SAN SEBASTIAN DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-1051
Mailing Address - Country:US
Mailing Address - Phone:516-532-8278
Mailing Address - Fax:
Practice Address - Street 1:7252 SAN SEBASTIAN DR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-1051
Practice Address - Country:US
Practice Address - Phone:516-532-8278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-10
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0094751225100000X, 2251P0200X
FL28740225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics