Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | ||
N | 2251H1300X | Human Factors | ||
N | 225XH1300X | Human Factors | ||
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | ||
N | 225XP0200X | Occupational Therapist - Pediatrics |
NPI | 1215005681 |
---|---|
Provider Name | Trina Rice |
First Address | Overland Park, KS 66213-4737 |
Second Address | Lees Summit, MO 64063-2823 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2006 |
Last Update Date | 10/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
045732 | FAMILY HEALTH PARTNERS (01) | |
29512014 | BLUE CROSS BLUE SHIELD (01) | |
475300901 | (05) | MO |
48119829266210A002 | TRICARE (01) |