Individual
MISS SHANTE NICOLE TRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2605 NEW HARTFORD RD, OWENSBORO, KY 42303-1316
(270) 688-8449
Mailing address
2605 NEW HARTFORD RD, OWENSBORO, KY 42303-1316
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
261164
KY
Other
Enumeration date
01/13/2020
Last updated
01/13/2020
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