=====================================================
General NPI Number Information
=====================================================
NPI Number | 1558283663
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RHIANA POCHMAN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/29/2026
-----------------------------------------------------
Last Update Date | 07/29/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 21960 W RIVER RD
-----------------------------------------------------
City | GRANTSBURG
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 54840-7758
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 715-220-3572
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 21960 W RIVER RD
-----------------------------------------------------
City | GRANTSBURG
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 54840-7758
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 715-220-3572
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number | 108172
-----------------------------------------------------
License Number State | MN
-----------------------------------------------------