MEDICARE: DR. ANGELA MARIE RICE DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	2305202819	VA

General Provider Information

NPI Number	:	1689609323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANGELA MARIE RICE DPT

Provider Business Mailing Address
First Line	:	PO BOX 7087
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22307-0087
Country	:	US
Telephone Number	:	703-317-2800
Fax Number	:	703-317-8458

Provider Business Practice Location Address
First Line	:	5845 RICHMOND HWY
Second Line	:	SUITE 400
City	:	ALEXANDRIA
State	:	VA
Zip	:	22303-1865
Country	:	US
Telephone Number	:	703-317-2800
Fax Number	:	703-317-8458

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	05/19/2010

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