Individual
MISS HOLLY WIDDER RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3570 EXECUTIVE DR STE 202, UNIONTOWN, OH 44685-8712
(330) 970-9310
Mailing address
8315 BROWN BEAR CIR NW, MASSILLON, OH 44646-7855
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.04402
OH
Other
Enumeration date
02/19/2013
Last updated
01/19/2024
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