Provider Demographics
NPI:1851653232
Name:PARKER, REINEE DAWN (OTR/L)
Entity type:Individual
Prefix:
First Name:REINEE
Middle Name:DAWN
Last Name:PARKER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:REINEE
Other - Middle Name:DAWN
Other - Last Name:SAINZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4395 PIEDMONT AVE APT 212
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-4781
Mailing Address - Country:US
Mailing Address - Phone:508-369-2718
Mailing Address - Fax:
Practice Address - Street 1:4395 PIEDMONT AVE APT 212
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-4781
Practice Address - Country:US
Practice Address - Phone:508-369-2718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12350225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist