Healthcare Provider Details

I. General information

NPI: 1982173530
Provider Name (Legal Business Name): CARLENE RIMES OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2018
Last Update Date: 11/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 7TH ST NW
NAPLES FL
34120-5002
US

IV. Provider business mailing address

321 7TH ST NW
NAPLES FL
34120-5002
US

V. Phone/Fax

Practice location:
  • Phone: 717-350-5690
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT18725
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: