Provider Demographics
NPI:1609030212
Name:RINHOLEN, ANNA JEAN (OTR/L)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:JEAN
Last Name:RINHOLEN
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:N675 W COUNTY ROAD O
Mailing Address - Street 2:
Mailing Address - City:MONDOVI
Mailing Address - State:WI
Mailing Address - Zip Code:54755-7825
Mailing Address - Country:US
Mailing Address - Phone:928-581-8030
Mailing Address - Fax:
Practice Address - Street 1:N675 W COUNTY ROAD O
Practice Address - Street 2:
Practice Address - City:MONDOVI
Practice Address - State:WI
Practice Address - Zip Code:54755-7825
Practice Address - Country:US
Practice Address - Phone:928-581-8030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-12
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3889225X00000X
VA0119004964225X00000X
CAOT 10495225X00000X
WI5056-026225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist