Provider Demographics
NPI:1902189707
Name:RICE, VICTORIA A (PT, DPT)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:A
Last Name:RICE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1805 ROUTE 206 STE 3
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08088-3558
Mailing Address - Country:US
Mailing Address - Phone:609-859-2426
Mailing Address - Fax:609-859-2437
Practice Address - Street 1:1805 ROUTE 206 STE 3
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:NJ
Practice Address - Zip Code:08088-3558
Practice Address - Country:US
Practice Address - Phone:609-859-2426
Practice Address - Fax:609-859-2537
Is Sole Proprietor?:No
Enumeration Date:2011-09-28
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01418800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist