Provider Demographics
NPI:1326148248
Name:RHINE, CHARMAINE MARIE (PT)
Entity Type:Individual
Prefix:
First Name:CHARMAINE
Middle Name:MARIE
Last Name:RHINE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CHARMAINE
Other - Middle Name:MARIE
Other - Last Name:HOVAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:212 COTTAGE ST
Mailing Address - Street 2:
Mailing Address - City:NEVADA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95959-2206
Mailing Address - Country:US
Mailing Address - Phone:530-277-9941
Mailing Address - Fax:530-265-2123
Practice Address - Street 1:300 SIERRA COLLEGE DR STE 165
Practice Address - Street 2:
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-5083
Practice Address - Country:US
Practice Address - Phone:530-274-2320
Practice Address - Fax:530-852-0933
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2018-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
CAPT24907225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist