Individual
PRISCILLA CHARYSSE RIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1441 SW 1ST ST, MIAMI, FL 33135-2202
(305) 541-3400
Mailing address
8510 SW 15TH TER, MIAMI, FL 33144-4047
(786) 439-6868
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA19589
FL
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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