Individual
MR. MILTON DAVID RIVEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
54 WILSON ST, NEW BRITAIN, CT 06051-2024
(860) 422-0568
Mailing address
54 WILSON ST, NEW BRITAIN, CT 06051-2024
(860) 422-0568
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
025240-01
NY
225X00000X
Occupational Therapist
Primary
48.004623
CT
225X00000X
Occupational Therapist
5946
SC
225X00000X
Occupational Therapist
OC14995
PA
225X00000X
Occupational Therapist
OT.0006631
CO
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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