Provider Demographics
NPI:1902480122
Name:MAHNS, RAINA MARIE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:RAINA
Middle Name:MARIE
Last Name:MAHNS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:RAINA
Other - Middle Name:MARIE
Other - Last Name:RAUCH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR/L
Mailing Address - Street 1:799 HANCOCK ST # 1
Mailing Address - Street 2:
Mailing Address - City:RUMFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04276-1547
Mailing Address - Country:US
Mailing Address - Phone:207-620-0022
Mailing Address - Fax:
Practice Address - Street 1:799 HANCOCK STREET
Practice Address - Street 2:
Practice Address - City:RUMFORD
Practice Address - State:ME
Practice Address - Zip Code:04276-1547
Practice Address - Country:US
Practice Address - Phone:207-369-5560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-12
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT3668225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist