Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 018387-1 | NY |
NPI | 1093970212 |
---|---|
Provider Name | Ms. Karin Lee Rice |
First Address | Saugerties, NY 12477-1812 |
Second Address | Saugerties, NY 12477-1812 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2008 |
Last Update Date | 28/07/2008 |