Individual
RACHEL REBECCA RIVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3244 51ST ST S, FARGO, ND 58104-7179
(701) 356-0062
(701) 356-5412
Mailing address
6092 59TH ST S, FARGO, ND 58104-5778
(701) 540-7590
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105663
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
105663
MINNESOTA OCCUPATIONAL THERAPY INDIVIDUAL LICENSE NUMBER
MN
01
—
1784
LICENSE
ND
Enumeration date
05/22/2019
Last updated
09/11/2025
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