Individual
MRS. RENEE MILLER RIVAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
207 TOWNCENTER PKWY, LAFAYETTE, LA 70506-7507
(337) 521-7252
Mailing address
123 GREEN MEADOW RD, LAFAYETTE, LA 70503-6103
(337) 989-9366
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.Z10516
LA
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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