Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 10816 | NC |
N | 2251N0400X | Physical Therapist - Neurology | 10816 | NC |
NPI | 1790844801 |
---|---|
Provider Name | Christa Hicks Rice |
First Address | Raleigh, NC 27607-6000 |
Second Address | Raleigh, NC 27607-5253 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2006 |
Last Update Date | 14/01/2011 |