MEDICARE: DANIELLA RIVERA MOTR/L

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
1	225X00000X	Occupational Therapist	439272

General Provider Information

NPI Number	:	1124977202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLA RIVERA MOTR/L

Provider Business Mailing Address
First Line	:	2000 BOBBY FOSTER RD SE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-9001
Country	:	US
Telephone Number	:	505-508-3295
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 BOBBY FOSTER RD SE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-9001
Country	:	US
Telephone Number	:	505-508-3295
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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