Individual
MS. ILEANA AIDE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
100 N HWY 77, SUITE F, RAYMONDVILLE, TX 78580-4000
(956) 689-5301
(956) 689-2004
Mailing address
PO BOX 92, RAYMONDVILLE, TX 78580-0092
(956) 689-5301
(956) 689-2004
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111176
TX
Other
Enumeration date
08/07/2009
Last updated
10/22/2009
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