Provider Demographics
NPI:1760708960
Name:RICE, DEBORAH LEE (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:LEE
Last Name:RICE
Suffix:
Gender:F
Credentials: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:PO BOX 5100
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00823-5100
Mailing Address - Country:US
Mailing Address - Phone:340-772-9557
Mailing Address - Fax:340-772-9558
Practice Address - Street 1:SUNNY ISLE PROFESSIONAL BUILDING
Practice Address - Street 2:SUITE 6 F
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00823-5100
Practice Address - Country:US
Practice Address - Phone:340-772-9557
Practice Address - Fax:340-772-9558
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-13
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1102225X00000X
VI506458261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation