Individual
MRS. JESSICA ROSE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
240 PALACE AVE, WARWICK, RI 02886-2622
(401) 286-2009
Mailing address
240 PALACE AVE, WARWICK, RI 02886-2622
(401) 286-2009
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA00995
RI
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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