Organization
WINGS OF HOPE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY LESLIE RIVERA OTR/L (OWNER)
(540) 841-9907
Entity
Organization
Contact information
Practice address
4501 PAPILLION CT, FREDERICKSBURG, VA 22408-7740
(540) 841-9907
Mailing address
4501 PAPILLION CT, FREDERICKSBURG, VA 22408-7740
(540) 841-9907
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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