KELLY LESLIE RIVERA

MELVILLE, NY
NPI1497320253
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: VA  0119008973)
Enumeration Date2021-05-24
Last Update Date2021-05-24
Business Address
KELLY LESLIE RIVERA OTR/L
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747-4899
Phone number: 631-385-7780
Mailing Address
KELLY LESLIE RIVERA OTR/L
10506 ABBERLY VILLAGE LN APT 750
FREDERICKSBURG, VA 22407-2714
Phone number: 540-841-9907
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