Provider Demographics
NPI:1134918709
Name:RINES, JOYCE ELLEN
Entity type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:ELLEN
Last Name:RINES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1098 W RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CORNVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04976-6213
Mailing Address - Country:US
Mailing Address - Phone:207-616-6818
Mailing Address - Fax:207-616-6818
Practice Address - Street 1:23 CEDAR RIDGE DR
Practice Address - Street 2:
Practice Address - City:SKOWHEGAN
Practice Address - State:ME
Practice Address - Zip Code:04976-4160
Practice Address - Country:US
Practice Address - Phone:207-474-9686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIOTA00839224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant