Deborah Ruth Berenboim
Rehabilitation Practitioner in San Rafael, CA. Individual provider (NPI-1).
NPI number1972026425
StatusActive
Last updated in NPPESMay 25, 2018
Details
- NPI
- 1972026425
- Entity type
- Individual (NPI-1)
- Name
- Deborah Ruth Berenboim
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 17, 2017
- Last updated
- May 25, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
4020 Civic Center DrSan Rafael, CA 94903
Phone 415-491-2525
Mailing address
555 Northgate DrSan Rafael, CA 94903-3680
Phone 415-526-7500
Other practice locations
555 Northgate Dr
San Rafael, CA 94903-3680
San Rafael, CA 94903-3680
Phone 415-526-7500
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 37 Rehabilitation Practitioner providers in San Rafael · All 3,698 providers in San Rafael
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