NPI | 1811265341 |
---|---|
Former Name | TERRA A RICE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MN 9267) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 033958) |
Enumeration Date | 2011-12-12 |
Last Update Date | 2013-06-26 |