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1497027577
SUSAN RIVERA
LAKELAND, FL
NPI
1497027577
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: FL ota4684)
Enumeration Date
2012-02-03
Last Update Date
2012-02-03
Business Address
Mrs. SUSAN RIVERA
1010 CARPENTERS WAY
LAKELAND, FL 33809-3926
Phone number: 863-458-2029
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Mailing Address
Mrs. SUSAN RIVERA
1917 CASCO ST.
LAKELAND, FL 33801
Phone number: 863-458-2029
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