Individual
GREGORY ALLEN RICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21602
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21602
OBMT
OR
Enumeration date
10/09/2018
Last updated
10/09/2018
Update your record
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