Individual
SHAIRRA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2200 OSBORNE RD, CHESTER, VA 23831-2232
(407) 307-6234
Mailing address
2200 OSBORNE RD, CHESTER, VA 23831-2232
(407) 307-6234
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA1668
FL
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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