Provider Demographics
NPI:1376674283
Name:RINEHIMER, MAUREEN ANN (PT MHS)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:ANN
Last Name:RINEHIMER
Suffix:
Gender:F
Credentials:PT MHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1312 SAWMILL ROAD
Mailing Address - Street 2:P.O. BOX 305
Mailing Address - City:POCONO PINES
Mailing Address - State:PA
Mailing Address - Zip Code:18350-0000
Mailing Address - Country:US
Mailing Address - Phone:570-646-2539
Mailing Address - Fax:
Practice Address - Street 1:1312 SAWMILL ROAD
Practice Address - Street 2:
Practice Address - City:POCONO LAKE
Practice Address - State:PA
Practice Address - Zip Code:18347-0000
Practice Address - Country:US
Practice Address - Phone:570-646-2539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT-002989-L2251P0200X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Multi-Specialty
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017022400003OtherMA #WHEN WORKING FOR VIA
PA0017022400001OtherMA NUMBER