Provider Demographics
NPI:1871898601
Name:RAINS, SYBIL ANNETTE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:SYBIL
Middle Name:ANNETTE
Last Name:RAINS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 369
Mailing Address - Street 2:
Mailing Address - City:SNEADS FERRY
Mailing Address - State:NC
Mailing Address - Zip Code:28460-0369
Mailing Address - Country:US
Mailing Address - Phone:910-515-4843
Mailing Address - Fax:
Practice Address - Street 1:159 JOHNNY PARKER RD LOT 3
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540-9766
Practice Address - Country:US
Practice Address - Phone:910-515-4843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-26
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5405225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist