Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251E1200X | Ergonomics | 3410 | AZ |
Y | 225XE1200X | Ergonomics | 3410 | AZ |
N | 2251H1300X | Human Factors | 3410 | AZ |
N | 225XH1300X | Human Factors | 3410 | AZ |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 3410 | AZ |
NPI | 1790966380 |
---|---|
Provider Name | Kara Rice |
First Address | Scottsdale, AZ 85255 |
Second Address | Scottsdale, AZ 85255-1747 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/11/2007 |
Last Update Date | 29/08/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Z131931 | MEDICARE, PTAN (01) | AZ |