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NPI Code Detail

MEDICARE: JENNIFER L RICE PT

MEDICARE: JENNIFER L RICE PT
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
1225100000XPhysical Therapist17513MA
2225100000XPhysical Therapist011785OH
3225100000XPhysical Therapist007674CT

General Provider Information

NPI Number : 1134347081
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER L RICE PT
Provider Business Mailing Address
First Line : 6 BUTTER JONES RD
Second Line :
City : CHESTER
State : CT
Zip : 06412-1031
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3 S WIG HILL RD
Second Line :
City : CHESTER
State : CT
Zip : 06412-1106
Country : US
Telephone Number : 203-558-0805
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2007
Last Update Date : 01/26/2024

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