Individual
CRYSTAL D RIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
17800 US HIGHWAY 18, APPLE VALLEY, CA 92307-1221
(760) 955-3674
Mailing address
19280 YANAN RD, APPLE VALLEY, CA 92307-4759
(909) 235-3380
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3011
CA
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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