Provider Demographics
NPI:1063658417
Name:RICE, DEEANN LYNETTE (OT)
Entity Type:Individual
Prefix:
First Name:DEEANN
Middle Name:LYNETTE
Last Name:RICE
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:DEEANN
Other - Middle Name:LYNETTE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:705 BRAY CENTRAL DR
Mailing Address - Street 2:APT. # 9208
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-6370
Mailing Address - Country:US
Mailing Address - Phone:214-733-1785
Mailing Address - Fax:
Practice Address - Street 1:1201 E 15TH ST
Practice Address - Street 2:SUITE 304
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-6238
Practice Address - Country:US
Practice Address - Phone:972-424-0148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-06
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX304727225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist