Individual
LOREDANA RENAE RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
365 SWEET GUM ACRES RD, EL DORADO, AR 71730-2167
(870) 918-9183
Mailing address
365 SWEET GUM ACRES RD, EL DORADO, AR 71730
(870) 918-9183
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1823
AR
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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