Individual
KAETH RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4010 MORENA BLVD STE 103, SAN DIEGO, CA 92117-4547
(619) 356-1315
Mailing address
5275 MONROE AVE APT 27, SAN DIEGO, CA 92115-4756
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
28783
CA
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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