Individual
MRS. KELSI MARIE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
4500 S LANCASTER RD # 11K, DALLAS, TX 75216-7167
(214) 857-4909
Mailing address
4500 S LANCASTER RD # 11K, DALLAS, TX 75216-7167
(214) 857-4909
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
60372
—
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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