Rehab Al-Dubaisi

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Evans, CO

NPI 1780178228 · NPPES record last updated Jun 19, 2018

Key facts

NPI
1780178228
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
3202 Abbey Rd Unit 521
Evans, CO 80620-8627
Phone
(612) 404-9781
NPI assigned
Jun 19, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

3202 Abbey Rd Unit 521
Evans, CO 80620-8627

Mailing address

100 Woods Rd # C-203
Valhalla, NY 10595-1530
Phone (612) 404-9781

Other providers in Evans, CO

All providers in Evans, CO · Student in an Organized Health Care Education/Training Program in Colorado

Sources for this page

Verify at the official NPI Registry.