Provider Demographics
NPI:1497283162
Name:RIMUI, IRENE NJAMBI (OTR/L)
Entity Type:Individual
Prefix:
First Name:IRENE
Middle Name:NJAMBI
Last Name:RIMUI
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4927 VOORHEES RD
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34653-5542
Mailing Address - Country:US
Mailing Address - Phone:727-848-3578
Mailing Address - Fax:
Practice Address - Street 1:4927 VOORHEES RD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-5542
Practice Address - Country:US
Practice Address - Phone:727-484-3326
Practice Address - Fax:727-849-1721
Is Sole Proprietor?:No
Enumeration Date:2017-05-25
Last Update Date:2017-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OT17809225XG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology