Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 40QA00929400 | NJ |
NPI | 1003020629 |
---|---|
Provider Name | Mrs. Terri Rice |
First Address | Marlton, NJ 08053-5313 |
Second Address | Cherry Hill, NJ 08002-2233 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 08/07/2007 |