Individual
KAISY JOAN RIVERA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23941 SW 117TH CT, HOMESTEAD, FL 33032-3003
(786) 970-1378
Mailing address
23941 SW 117TH CT, HOMESTEAD, FL 33032-3003
(786) 970-1378
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
26513
FL
Other
Enumeration date
01/08/2020
Last updated
10/08/2025
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