Individual
MISS GRIMALDI RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R/L
Contact information
Practice address
3232 W ROYAL LN, IRVING, TX 75063-3105
(877) 453-5162
(972) 983-0292
Mailing address
8896 NW 108TH LN, HIALEAH GARDENS, FL 33018-4525
(786) 262-6445
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 14306
FL
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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