Provider Demographics
NPI:1801077359
Name:RIMAR, MAUREEN (PT)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:RIMAR
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 1:842 LAUREL AVE
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-2842
Mailing Address - Country:US
Mailing Address - Phone:303-402-9088
Mailing Address - Fax:303-402-9092
Practice Address - Street 1:842 LAUREL AVE
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-2842
Practice Address - Country:US
Practice Address - Phone:303-402-9088
Practice Address - Fax:303-402-9092
Is Sole Proprietor?:No
Enumeration Date:2007-11-26
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2300208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC24593OtherMEDICARE ID NUMBER