# RIVERSIDE REHABILITATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528374014
- **Authorized official:** KIMBER L DOWER OT (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (435) 632-3423

## Contact information

- **Practice address:** 2044 MESA PALMS DR, ST GEORGE, UT 84770-5546
- **Practice address phone:** (435) 632-3423
- **Practice address fax:** (435) 656-2790
- **Mailing address:** 2044 MESA PALMS DR, ST GEORGE, UT 84770-5546
- **Mailing address phone:** (435) 632-3423
- **Mailing address fax:** (435) 656-2790

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 08/23/2010
- **Last updated:** 07/06/2012