Individual
MICHAEL RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
128 CEDAR AVE, WATERBURY, CT 06705-2700
(203) 757-9271
Mailing address
128 CEDAR AVE, WATERBURY, CT 06705-2700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
004264
CT
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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