Individual
MRS. MICHELLE BOUCHER RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
715 POPLAR FOREST CT, CHESAPEAKE, VA 23322-7588
(757) 572-2609
Mailing address
715 POPLAR FOREST CT, CHESAPEAKE, VA 23322-7588
(757) 572-2609
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006234
VA
225X00000X
Occupational Therapist
07343
MD
Other
Enumeration date
09/19/2014
Last updated
07/13/2016
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