Individual
CRISTINA ACEVEZ-RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2150 S COUNTRY CLUB DR STE 20, MESA, AZ 85210-6879
(480) 398-4280
Mailing address
4710 W LUCKY WAY, SANTA ANA, CA 92704-1138
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-047185
AZ
224Z00000X
Occupational Therapy Assistant
OTA5580
CA
Other
Enumeration date
07/20/2021
Last updated
04/03/2023
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