Provider Demographics
NPI:1649835877
Name:O'BRIEN, RHEA LORAINE (OTR/L)
Entity type:Individual
Prefix:
First Name:RHEA
Middle Name:LORAINE
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:RHEA
Other - Middle Name:L
Other - Last Name:HOBSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:37734 330TH AVE
Mailing Address - Street 2:
Mailing Address - City:GRIGGSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62340-2021
Mailing Address - Country:US
Mailing Address - Phone:217-779-3042
Mailing Address - Fax:
Practice Address - Street 1:320 N MADISON ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:IL
Practice Address - Zip Code:62363-1412
Practice Address - Country:US
Practice Address - Phone:217-285-9601
Practice Address - Fax:217-285-6188
Is Sole Proprietor?:No
Enumeration Date:2019-05-02
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017000760225X00000X
IL056013969225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist