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NPI Code Detail

MEDICARE: NORA LISA RIVAS OTR

MEDICARE: NORA LISA RIVAS OTR
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 Therapist

General Provider Information

NPI Number : 1679003578
Entity Type Code : Individual
Provider Name (Legal Business Name) : NORA LISA RIVAS OTR
Provider Business Mailing Address
First Line : 208 STARR ST STE 2
Second Line :
City : MERCEDES
State : TX
Zip : 78570-2736
Country : US
Telephone Number : 956-514-1551
Fax Number :
Provider Business Practice Location Address
First Line : 208 STARR ST STE 2
Second Line :
City : MERCEDES
State : TX
Zip : 78570-2736
Country : US
Telephone Number : 956-514-1551
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2017
Last Update Date : 06/14/2017

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Directions to “ NORA LISA RIVAS OTR” Practice Location

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