Individual
CARLIE DANIELLE RINAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3175 SIENNA DR S STE 103, FARGO, ND 58104-8910
(701) 532-1906
(701) 532-1896
Mailing address
500 11TH ST N, MOORHEAD, MN 56560-2039
(701) 200-3038
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
104599
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104599
LICENSED OCCUPATIONAL THERAPIST
MN
01
—
1422
NORTH DAKOTA OCCUPATIONAL THERAPY LICENSE
ND
Enumeration date
06/18/2015
Last updated
10/25/2022
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