Individual
EVELIEN RIETVELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.004347
IL
225X00000X
Occupational Therapist
Primary
102990
MN
Other
Enumeration date
04/18/2008
Last updated
02/06/2012
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