Healthcare Provider Details

I. General information

NPI: 1790966380
Provider Name (Legal Business Name): KARA RICE O.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/24/2007
Last Update Date: 08/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10404 E MEADOWHILL DR
SCOTTSDALE AZ
85255-1747
US

IV. Provider business mailing address

10404 E. MEADOWHILL DR.
SCOTTSDALE AZ
85255
US

V. Phone/Fax

Practice location:
  • Phone: 480-235-1927
  • Fax:
Mailing address:
  • Phone: 480-235-1927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XE1200X
TaxonomyErgonomics Occupational Therapist
License Number3410
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code225XH1300X
TaxonomyHuman Factors Occupational Therapist
License Number3410
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number3410
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: