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NPI Code Detail

MEDICARE: RIVKA ANDERSON OTR/L

MEDICARE: RIVKA ANDERSON OTR/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
1225X00000XOccupational Therapist140531NV

General Provider Information

NPI Number : 1699109017
Entity Type Code : Individual
Provider Name (Legal Business Name) : RIVKA ANDERSON OTR/L
Provider Business Mailing Address
First Line : 1801 GRAND RODEO ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-6922
Country : US
Telephone Number : 646-256-4416
Fax Number :
Provider Business Practice Location Address
First Line : 7281 W CHARLESTON BLVD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-1592
Country : US
Telephone Number : 702-870-7050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2013
Last Update Date : 05/07/2018

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Directions to “ RIVKA ANDERSON OTR/L” Practice Location

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