Individual
NYDIA ESTHER RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1919 LAKELAND HILLS BLVD, LAKELAND, FL 33805-2901
(863) 688-5612
Mailing address
9933 EARLSTON ST, ORLANDO, FL 32817-1829
(407) 687-0126
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA15780
FL
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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