Individual
RICARDO RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3810 HALE AVE, HARLINGEN, TX 78550-9230
(956) 412-8660
Mailing address
3810 HALE AVE, HARLINGEN, TX 78550-9230
(956) 412-8660
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
204886
TX
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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