Individual
LAURA LUCIA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7777 HIGHWAY 67S, GURDON PUBLIC SCHOOL, GURDON, AR 71743
(870) 353-4455
Mailing address
803 WEST 15TH ST, HOPE, AR 71801
(870) 826-3820
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1720
AR
Other
Enumeration date
08/13/2021
Last updated
08/19/2021
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