Individual
BOBBI-JO RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
THE PARENTING PLACE, 1500 GREEN BAY STREET, LA CROSSE, WI 54601-6455
(608) 784-8125
(608) 796-0098
Mailing address
THE PARENTING PLACE, 1500 GREEN BAY STREET, LA CROSSE, WI 54601-6455
(608) 784-8125
(608) 796-0098
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
103980
MN
225X00000X
Occupational Therapist
Primary
4857-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
Enumeration date
03/11/2010
Last updated
11/11/2020
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