Individual
MISS LYTESE CEDORIA RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
17723 PARK BLVD APT 2B, LANSING, IL 60438-1947
(773) 571-6257
Mailing address
17723 PARK BLVD APT 2B, LANSING, IL 60438-1947
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004743
IL
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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