Provider Demographics
NPI:1700939436
Name:RUBEL, CATHY M (CPOA, C PED, CMF)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:M
Last Name:RUBEL
Suffix:
Gender:F
Credentials:CPOA, C PED, CMF
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:6177 N KNOLL PL
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-9479
Mailing Address - Country:US
Mailing Address - Phone:828-850-1746
Mailing Address - Fax:828-326-9391
Practice Address - Street 1:1636 TATE BLVD SE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-4244
Practice Address - Country:US
Practice Address - Phone:828-326-7161
Practice Address - Fax:828-326-9391
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management