Brandon Lee Rivera

NPI #1912511973 in Groveland, Florida

Provider Information

NPI Number: 1912511973
Entity Type: Individual
Name: Brandon Lee Rivera
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Sep 6, 2020
Last Updated: Sep 6, 2020

Practice Location

Address: 408 IRONSIDE TRAIL DR
City: Groveland
State: Florida
ZIP Code: 34736-8255
Phone: (407) 529-4651

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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