Individual
ALLISON RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 S FERDON BLVD, CRESTVIEW, FL 32536-5252
(850) 682-8388
Mailing address
4100 S FERDON BLVD, CRESTVIEW, FL 32536-5252
(850) 682-8388
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SZ6999
FL
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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