Individual
ADRIEL DAVID RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
7442 FRANK AVE NW, NORTH CANTON, OH 44720-7018
(330) 477-9720
(330) 491-2049
Mailing address
2052 CHARLES ST, VIDALIA, LA 71373
(318) 201-1599
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
13268
CA
225X00000X
Occupational Therapist
Primary
OT010380
OH
Other
Enumeration date
03/20/2013
Last updated
11/15/2022
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