Individual
MRS. GLENDA JULIA RIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
68 BRADHURST AVE, 3M, NEW YORK, NY 10039-3304
(347) 432-0809
Mailing address
68 BRADHURST AVE, 3M, NEW YORK, NY 10039-3304
(347) 432-0809
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
018175-1
NY
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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