Provider Demographics
NPI:1093146698
Name:RICE, ANNETTE DEANNA (MS, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ANNETTE
Middle Name:DEANNA
Last Name:RICE
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:238 E JUNIPER AVE
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20164-2416
Mailing Address - Country:US
Mailing Address - Phone:651-387-4448
Mailing Address - Fax:
Practice Address - Street 1:150 S WASHINGTON ST STE 203
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-2921
Practice Address - Country:US
Practice Address - Phone:703-606-6213
Practice Address - Fax:703-496-4779
Is Sole Proprietor?:No
Enumeration Date:2013-12-06
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056010363225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics