Individual
SANDRA S RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
800 RIVERSIDE DR, WAUPACA, WI 54981-1943
(715) 258-1053
(715) 258-1153
Mailing address
800 RIVERSIDE DR, WAUPACA, WI 54981-1943
(715) 258-1053
(715) 258-1153
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
390-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40322800
—
WI
Enumeration date
06/25/2008
Last updated
06/25/2008
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