Individual
MS. SHAWN RICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPED, CFOM, COA
Contact information
Practice address
5510 GAIL DR, BEAUMONT, TX 77708-2908
(409) 658-2792
Mailing address
5510 GAIL DR, BEAUMONT, TX 77708-2908
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
0055
—
224L00000X
Pedorthist
Primary
3531
—
225000000X
Orthotic Fitter
0055
—
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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