Individual
MS. DONNA REVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11183 NW 5TH MNR, CORAL SPRINGS, FL 33071-7937
(954) 914-0793
Mailing address
11183 NW 5TH MNR, CORAL SPRINGS, FL 33071-7937
(954) 914-0793
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 3597
FL
Other
Enumeration date
11/01/2006
Last updated
07/09/2007
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