Individual
MR. FABIAN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
10095 HILLVIEW DR, PENSACOLA, FL 32514-5428
(850) 479-4000
Mailing address
2122 FOXFORD ST, CANTONMENT, FL 32533-6851
(850) 218-6452
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT16162
FL
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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