Individual
VICTORIA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
18 COMMERCIAL BLVD STE 125, NOVATO, CA 94949-6120
(415) 884-9101
Mailing address
4460 REDWOOD HWY STE 9, SAN RAFAEL, CA 94903-1951
(415) 360-4405
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT23233
CA
225XM0800X
Mental Health Occupational Therapist
OT23233
CA
225XP0200X
Pediatric Occupational Therapist
Primary
OT23233
CA
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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