Individual
VICTOR DANIEL RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
7529 W ROMA AVE, PHOENIX, AZ 85033-2443
(602) 828-9577
Mailing address
7529 W ROMA AVE, PHOENIX, AZ 85033-2443
(602) 828-9577
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7047
AZ
Other
Enumeration date
06/18/2017
Last updated
07/21/2022
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