Individual
STEPHANIE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 LAKEVIEW PKWY, VERNON HILLS, IL 60061-1843
(847) 996-6666
Mailing address
400 LAKEVIEW PKWY, VERNON HILLS, IL 60061-1843
(847) 996-6666
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057006095
IL
Other
Enumeration date
06/19/2026
Last updated
06/19/2026
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