Provider Demographics
NPI:1811165558
Name:REINE, LINDA HYMEL (LOTR)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:HYMEL
Last Name:REINE
Suffix:
Gender:F
Credentials:LOTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9813 MARTHA LN
Mailing Address - Street 2:
Mailing Address - City:RIVER RIDGE
Mailing Address - State:LA
Mailing Address - Zip Code:70123-1513
Mailing Address - Country:US
Mailing Address - Phone:504-232-0768
Mailing Address - Fax:504-738-2625
Practice Address - Street 1:9813 MARTHA LN
Practice Address - Street 2:
Practice Address - City:RIVER RIDGE
Practice Address - State:LA
Practice Address - Zip Code:70123-1513
Practice Address - Country:US
Practice Address - Phone:504-232-0768
Practice Address - Fax:504-738-2625
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-15
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAOTTZ10403225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics