Basic Information
| Provider Information | |||||||||
| NPI: | 1780238097 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RICE | ||||||||
| FirstName: | WENDY | ||||||||
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| Credential: | OT | ||||||||
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| OtherLastName: | HOWARD | ||||||||
| OtherFirstName: | WENDY | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 534 OLD HOWELL RD | ||||||||
| Address2: | |||||||||
| City: | GREENVILLE | ||||||||
| State: | SC | ||||||||
| PostalCode: | 296152051 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8642443626 | ||||||||
| FaxNumber: | 8642446923 | ||||||||
| Practice Location | |||||||||
| Address1: | WOLF COUNTY HEALTH CARE CENTER | ||||||||
| Address2: | 850 KY-191 | ||||||||
| City: | CAMPTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 41301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6066683216 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/25/2019 | ||||||||
| LastUpdateDate: | 07/25/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 133568 | KY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.