Individual
TAYLOR RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1041 CHINABERRY DR STE 100, BOSSIER CITY, LA 71111-2466
(318) 746-1199
Mailing address
1041 CHINABERRY DR STE 100, BOSSIER CITY, LA 71111-2466
(318) 746-1199
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
325325
LA
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
325325
LA
225XP0200X
Pediatric Occupational Therapist
325325
LA
Other
Enumeration date
06/30/2022
Last updated
08/13/2024
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