Individual
KIM LARIVIERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1037 AVIATOR CT, SCOTTS VALLEY, CA 95066-4053
(650) 888-8360
Mailing address
1037 AVIATOR CT, SCOTTS VALLEY, CA 95066-4053
(650) 888-8360
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 1492
CA
Other
Enumeration date
11/06/2011
Last updated
11/06/2011
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