Individual
MAGDALENA RIVOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.T.
Contact information
Practice address
878 W HERITAGE DR, ADDISON, IL 60101-3115
(708) 257-6132
Mailing address
878 W HERITAGE DR, ADDISON, IL 60101-3115
(708) 257-6132
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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