| NPI | 1437711967 |
|---|---|
| Former Name | DESIREE RICE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT030319) |
| Enumeration Date | 2019-07-04 |
| Last Update Date | 2023-07-17 |