Individual
JACOB ALLEN RIVET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 WESTERN BLVD, TARBORO, NC 27886-4017
(252) 823-0401
Mailing address
409 RUTH ST, AUBURN, MI 48611-9455
(989) 415-6866
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14342
NC
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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