Individual
BRITTANY RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1229 TOTEROS DR, WAXHAW, NC 28173-6950
(704) 649-4509
(704) 843-9045
Mailing address
4174 PEGWELL AVE, CONCORD, NC 28025-9279
(516) 643-5183
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13913
OT LICENSE
NC
Enumeration date
09/08/2020
Last updated
04/07/2022
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