Individual
MRS. VALERIE M. RIVENBURGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
53 GIBSON RD, GOSHEN, NY 10924-6709
(845) 361-9215
Mailing address
53 GIBSON RD, GOSHEN, NY 10924-6709
(845) 361-9215
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
005183-1
NY
Other
Enumeration date
10/03/2011
Last updated
10/05/2011
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