Individual
MARY L RIEKENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5830 CORAL RIDGE DR, SUITE 120, CORAL SPRINGS, FL 33076-3392
(866) 425-5768
Mailing address
544 STARLITE DR, PUEBLO, CO 81005-2691
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2396
CA
224Z00000X
Occupational Therapy Assistant
297300
OR
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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