Provider Demographics
NPI:1306078548
Name:RICE, STEPHENIE TALBERT (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:STEPHENIE
Middle Name:TALBERT
Last Name:RICE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1143 COMPTON PL
Mailing Address - Street 2:
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-2676
Mailing Address - Country:US
Mailing Address - Phone:434-316-0015
Mailing Address - Fax:
Practice Address - Street 1:1503 GRACE ST
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24504-3211
Practice Address - Country:US
Practice Address - Phone:434-847-6332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-21
Last Update Date:2009-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119003126225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist