Organization
KELLY L. RICE,
Active
Other names
Sovia Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY L RICE OTR/L (OWNER)
(717) 379-4543
Entity
Organization
Contact information
Practice address
1015 TIVERTON RD, MECHANICSBURG, PA 17050-7699
(717) 379-4543
(717) 732-3740
Mailing address
1015 TIVERTON RD, MECHANICSBURG, PA 17050-7699
(717) 379-4543
(717) 732-3740
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
OC002751L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019283190003
MEDICAL ASSISTANCE
PA
Enumeration date
03/30/2011
Last updated
03/30/2011
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