Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 35067035C | OH |
NPI | 1053316224 |
---|---|
Provider Name | Susan G. Rice |
First Address | Toledo, OH 43614-0068 |
Second Address | Toledo, OH 43615 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2005 |
Last Update Date | 20/10/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4713041 | (05) | OH |
H56456 | (02) | OH |