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Individual

TRINA RICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
408 SE 3RD ST, LEES SUMMIT, MO 64063-2823
(913) 593-7827
Mailing address
9410 W 124TH TER, OVERLAND PARK, KS 66213-4737
(913) 593-7827

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
225XH1300X
Human Factors Occupational Therapist
225XN1300X
Neurorehabilitation Occupational Therapist
225XP0200X
Pediatric Occupational Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
045732
FAMILY HEALTH PARTNERS
01
29512014
BLUE CROSS BLUE SHIELD
05
475300901
MO
01
48119829266210A002
TRICARE
Enumeration date
12/01/2006
Last updated
09/10/2018
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