Individual
MARY RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
485 S FRIENDSHIP DR, NASHVILLE, IL 62263-1363
(618) 327-3041
Mailing address
3802 OLD BRUCEVILLE RD, VINCENNES, IN 47591-3802
(812) 886-4677
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160000527
IL
Other
Enumeration date
11/21/2013
Last updated
11/21/2013
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