Individual
CLINTON DALE RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
602 MAPLE VALLEY DR, FARMINGTON, MO 63640-1976
(573) 756-2999
Mailing address
1220 EDGEMONT BLVD, PERRYVILLE, MO 63775-2841
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2012004500
MO
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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