Individual
MS. JORDAN NICOLE RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
900 W PARK WAY, EULESS, TX 76040-3977
(817) 545-4071
Mailing address
504 WANDERING LN, BEAVER, WV 25813-9484
(304) 890-0310
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114361
TX
Other
Enumeration date
08/27/2011
Last updated
08/27/2011
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