Individual
VANESSA ELIZABETH RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24328 VERMONT AVE STE 318, HARBOR CITY, CA 90710-2314
(424) 250-9615
Mailing address
24328 VERMONT AVE, HARBOR CITY, CA 90710-2314
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
20727
CA
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
20727
CA
Other
Enumeration date
09/27/2021
Last updated
11/07/2021
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