Individual
ANAIS IVETTE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 NOLTE RD, SAINT CLOUD, FL 34772-7158
(407) 780-7317
Mailing address
5104 FIDDLEWOOD WAY, SAINT CLOUD, FL 34771-8594
(407) 421-1431
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15865
FL
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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