Individual
KRISTINE GAIL RIVERA NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
315 129TH ST S, TACOMA, WA 98444-5044
(253) 298-3000
Mailing address
6323 PANORAMA DR NE, TACOMA, WA 98422-1229
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
61467598
WA
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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