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Individual
TAYLOR R RIVIERE
Active
Individual
TAYLOR R RIVIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, OT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305209380
VA
225X00000X
Occupational Therapist
0119006657
VA
225X00000X
Occupational Therapist
OT16476
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2307001214
DIRECT ACCESS CERTIFICATION
VA
Enumeration date
04/24/2015
Last updated
11/20/2015
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