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NPI Code Detail

MEDICARE: OLGA I. RIVERA

MEDICARE:   OLGA I. RIVERA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT001913OH

General Provider Information

NPI Number : 1073022901
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLGA I. RIVERA
Provider Business Mailing Address
First Line : 7318 CHAMBERSBURG RD
Second Line :
City : HUBER HEIGHTS
State : OH
Zip : 45424-3920
Country : US
Telephone Number : 937-219-4562
Fax Number :
Provider Business Practice Location Address
First Line : 7318 CHAMBERSBURG RD
Second Line :
City : HUBER HEIGHTS
State : OH
Zip : 45424-3920
Country : US
Telephone Number : 937-484-1557
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2017
Last Update Date : 09/22/2017

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Directions to “ OLGA I. RIVERA ” Practice Location

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