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Individual

MRS. ASHLEY LYNN RIVEROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOTR/L

Contact information

Practice address
4820 PARK BLVD N, SUITE E, PINELLAS PARK, FL 33781-3534
(727) 369-6355
(727) 362-4766
Mailing address
7780 49TH ST N, PMB 154, PINELLAS PARK, FL 33781-3440
(727) 369-6355
(727) 362-4766

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT14784
FL
225X00000X
Occupational Therapist
P64957
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004014200
FL
Enumeration date
08/05/2008
Last updated
03/27/2014
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