| Brandon Lee Rivera, | |
|
408 Ironside Trail Dr, Groveland, FL 34736-8255 | |
| (407) 529-4651 | |
| Not Available |
| Full Name | Brandon Lee Rivera |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 408 Ironside Trail Dr, Groveland, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912511973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT18641 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Lee Rivera, 408 Ironside Trail Dr, Groveland, FL 34736-8255 Ph: (407) 529-4651 | Brandon Lee Rivera, 408 Ironside Trail Dr, Groveland, FL 34736-8255 Ph: (407) 529-4651 |
Raul Bravo, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 278 Sparrow Hawk Dr, Groveland, FL 34736 Phone: 407-340-6891 | |
Bloom Pediatric Development & Therapy Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7653 Gemstone St, Groveland, FL 34736 Phone: 954-608-5148 |