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Individual

MRS. MILADYS M RIVAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
1111 W 6TH ST STE 111, LOS ANGELES, CA 90017-1823
(323) 404-1027
(323) 340-8298
Mailing address
625 FAIR OAKS AVE STE 200, SOUTH PASADENA, CA 91030-2694
(323) 341-5580
(323) 340-8298

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
10199
CA
225XP0200X
Pediatric Occupational Therapist
Primary
10199
CA

Other

Enumeration date
07/02/2009
Last updated
07/03/2009
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