# MRS. LISSETTE ROSA-RIVERA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1356915995
- **Gender:** F
- **Credential:** MS, OT/L

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 1095 | PR | Yes |
| 225XN1300X | Neurorehabilitation Occupational Therapist | 1095 | PR | — |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | 1095 | PR | — |

## Other

- **Enumeration date:** 05/18/2021
- **Last updated:** 05/18/2021