Individual
MRS. LISE ANN RICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
RR 2 BOX 286-2, DALTON, PA 18414-9065
(570) 585-4838
Mailing address
RR 2 BOX 286-2, DALTON, PA 18414-9065
(570) 585-4838
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC001979
PA
225XH1200X
Hand Occupational Therapist
001979L
PA
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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