Provider Demographics
NPI:1649235417
Name:RHINE, JEAN MARIE (PT)
Entity Type:Individual
Prefix:MRS
First Name:JEAN
Middle Name:MARIE
Last Name:RHINE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 6 BOX 6404
Mailing Address - Street 2:
Mailing Address - City:HAWLEY
Mailing Address - State:PA
Mailing Address - Zip Code:18428-9011
Mailing Address - Country:US
Mailing Address - Phone:570-226-8638
Mailing Address - Fax:
Practice Address - Street 1:155 BROOKLYN ST
Practice Address - Street 2:SUITE 2
Practice Address - City:CARBONDALE
Practice Address - State:PA
Practice Address - Zip Code:18407-2200
Practice Address - Country:US
Practice Address - Phone:570-282-3344
Practice Address - Fax:570-282-4622
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT003730L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist