Individual
MRS. JILL DEBORAH RIVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
22402 CAROLINE CHASE CT, KATY, TX 77494-2220
(281) 395-5963
Mailing address
22402 CAROLINE CHASE CT, KATY, TX 77494-2220
(281) 395-5963
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
110304
TX
225XN1300X
Neurorehabilitation Occupational Therapist
110304
TX
225XP0200X
Pediatric Occupational Therapist
Primary
110304
TX
Other
Enumeration date
03/02/2007
Last updated
02/18/2010
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