Individual
SOPHIA RACHEL RIVERA ALFARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
156 DIAMOND BRIDGE AVE APT 5, HAWTHORNE, NJ 07506-1932
(201) 888-1370
Mailing address
156 DIAMOND BRIDGE AVE APT 5, HAWTHORNE, NJ 07506-1932
(201) 888-1370
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009676-1
NY
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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