Individual
TIFFANY NICHOLE RIVENBURGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
301 N NINTH ST FL 13, RICHMOND, VA 23219-1933
(804) 780-7714
Mailing address
301 N NINTH ST, RICHMOND, VA 23219-1933
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119007392
VA
Other
Enumeration date
04/30/2018
Last updated
04/30/2018
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