Individual
JONATHAN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4758 LOMA DEL SUR DR, EL PASO, TX 79934-3597
(915) 755-0738
Mailing address
4758 LOMA DEL SUR DR, EL PASO, TX 79934-3597
(915) 755-0738
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
123384
TX
Other
Enumeration date
01/15/2020
Last updated
04/09/2024
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