Healthcare Provider Details

I. General information

NPI: 1497145759
Provider Name (Legal Business Name): DANIEL E RINES OTR/L
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2015
Last Update Date: 12/04/2023
Certification Date: 12/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 HOSPITALITY DR
BARRE VT
05641-5360
US

IV. Provider business mailing address

9248 MAIN RD
HUNTINGTON VT
05462-9535
US

V. Phone/Fax

Practice location:
  • Phone: 802-229-0308
  • Fax:
Mailing address:
  • Phone: 802-304-2426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number072.0127754
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: