Provider Demographics
NPI:1609426519
Name:SILVA PEREIRA LARA RIBEIRO, CAROLINE (OTD,OTR/L)
Entity Type:Individual
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First Name:CAROLINE
Middle Name:
Last Name:SILVA PEREIRA LARA RIBEIRO
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Gender:F
Credentials:OTD,OTR/L
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Mailing Address - Street 1:15500 BOSTON PARKWAY
Mailing Address - Street 2:APPT 110
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325
Mailing Address - Country:US
Mailing Address - Phone:402-547-3051
Mailing Address - Fax:
Practice Address - Street 1:15500 BOSTON PARKWAY
Practice Address - Street 2:APPT 110
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325
Practice Address - Country:US
Practice Address - Phone:402-547-3051
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-13
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology