Individual
KAREN ANN TRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
305 MALLARD LN, TAYLOR, TX 76574-1208
(512) 352-4765
Mailing address
305 MALLARD LN, TAYLOR, TX 76574-1208
(512) 352-4765
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111044
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0212862-01
—
TX
01
—
8T2198
BLUE CROSS
TX
Enumeration date
02/15/2007
Last updated
06/12/2013
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