=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437549383
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BARBARA C INGRAM RICE OT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/30/2015
-----------------------------------------------------
Last Update Date | 01/30/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2801 PINECREST ST
-----------------------------------------------------
City | SARASOTA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34239-7034
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 941-993-3111
-----------------------------------------------------
Fax | 941-343-9402
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2801 PINECREST ST
-----------------------------------------------------
City | SARASOTA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 34239-7034
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 941-993-3111
-----------------------------------------------------
Fax | 941-343-9402
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225X00000X
-----------------------------------------------------
Taxonomy Name | Occupational Therapist
-----------------------------------------------------
License Number | OT1501
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------