Individual
BETHANY RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
425 SW 14TH ST, OCALA, FL 34471-0615
(352) 351-8300
(352) 351-8310
Mailing address
5541 W ANTHONY RD, OCALA, FL 34475-1507
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15093
FL
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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