Individual
JADE MARIE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5255 WOODROW BEAN, EL PASO, TX 79924-3832
(915) 206-4428
Mailing address
12659 FAIR OAKS CT, HORIZON CITY, TX 79928-7497
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
218663
TX
Other
Enumeration date
12/25/2024
Last updated
12/25/2024
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