Provider Demographics
NPI:1194863738
Name:RICE, MARY SAVIANO (OTR)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:SAVIANO
Last Name:RICE
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:19 CLAIRE CT
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63031-8200
Mailing Address - Country:US
Mailing Address - Phone:314-921-3152
Mailing Address - Fax:314-921-2216
Practice Address - Street 1:19 CLAIRE CT
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63031-8200
Practice Address - Country:US
Practice Address - Phone:314-921-3152
Practice Address - Fax:314-921-2216
Is Sole Proprietor?:No
Enumeration Date:2007-02-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO000515225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics