Provider Demographics
NPI:1528211208
Name:RICE, PATRICIA R (OTR)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:R
Last Name:RICE
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 242
Mailing Address - Street 2:63 CHURCH HILL ROAD
Mailing Address - City:RIFTON
Mailing Address - State:NY
Mailing Address - Zip Code:12471-0242
Mailing Address - Country:US
Mailing Address - Phone:845-658-9849
Mailing Address - Fax:845-658-9849
Practice Address - Street 1:63 CHURCH HILL ROAD
Practice Address - Street 2:
Practice Address - City:RIFTON
Practice Address - State:NY
Practice Address - Zip Code:12471-0242
Practice Address - Country:US
Practice Address - Phone:845-658-9849
Practice Address - Fax:845-658-9849
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001580-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist