Provider Demographics
NPI:1487850640
Name:VAN RHYN, MARIA E (OT)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:E
Last Name:VAN RHYN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3060 SW CAPTIVA CT
Mailing Address - Street 2:
Mailing Address - City:PALM CITY
Mailing Address - State:FL
Mailing Address - Zip Code:34990-3183
Mailing Address - Country:US
Mailing Address - Phone:772-221-0006
Mailing Address - Fax:772-221-0006
Practice Address - Street 1:3060 SW CAPTIVA CT
Practice Address - Street 2:
Practice Address - City:PALM CITY
Practice Address - State:FL
Practice Address - Zip Code:34990-3183
Practice Address - Country:US
Practice Address - Phone:772-221-0006
Practice Address - Fax:772-221-0006
Is Sole Proprietor?:No
Enumeration Date:2007-06-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT8293225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist