Individual
BETHANY RICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
124 NW 90TH RD, LAMAR, MO 64759-8154
(620) 778-1246
Mailing address
124 NW 90TH RD, LAMAR, MO 64759-8154
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-01595
KS
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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