Individual
MISS AMERICA JANNET RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTL
Contact information
Practice address
HC 55 BOX 8849, CEIBA, PR 00735-9727
(787) 949-5032
Mailing address
HC 55 BOX 8849, CEIBA, PR 00735-9727
(787) 949-5032
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1010
PR
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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