Individual
MRS. LISANGELY RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTL
Contact information
Practice address
CARR. 110 INT. 111 KM. 12.8, EDIF. MOCA PROFESSIONAL PLAZA OFIC. 203, MOCA, PR 00676
(939) 539-4739
Mailing address
PO BOX 194807, SAN JUAN, PR 00919-4807
(939) 539-4739
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1264
PR
225XP0200X
Pediatric Occupational Therapist
Primary
1264
PR
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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