Raine, Monica Anne

Raine, Monica Anne is an individual health care provider with primary practice located at 11960 Westline Industrial Dr Ste 201 , Saint Louis MO 63146-3209. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Raine, Monica Anne can be contacted via phone (870) 404-3944.

Contact Information

Primary practice address
11960 Westline Industrial Dr Ste 201 Saint Louis MO 63146-3209
Phone: (870) 404-3944
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 1811 Arkansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2014012166 Missouri

Profile Details

NPI number 1598810376
LBN Legal business name Raine, Monica Anne
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Jul 22nd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598810376 NPPES
Arkansas MEDICAID 141377721

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