Provider Demographics
NPI:1609012426
Name:RIVEROS, ADRIENNE DRIGGERS (MOTR/L)
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:DRIGGERS
Last Name:RIVEROS
Suffix:
Gender:F
Credentials:MOTR/L
Other - Prefix:
Other - First Name:ADRIENNE
Other - Middle Name:
Other - Last Name:DRIGGERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9125 US HIGHWAY 19 N
Mailing Address - Street 2:
Mailing Address - City:PINELLAS PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33782-5406
Mailing Address - Country:US
Mailing Address - Phone:727-369-6355
Mailing Address - Fax:727-362-4766
Practice Address - Street 1:4820 PARK BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-3534
Practice Address - Country:US
Practice Address - Phone:727-369-6355
Practice Address - Fax:727-362-4766
Is Sole Proprietor?:No
Enumeration Date:2008-12-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT13455225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand