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Individual
MRS. MICHELLE TERESA RIVERA
Active
Individual
MRS. MICHELLE TERESA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007037L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03219401
CAPITAL BLUE CROSS
PA
01
—
1385638
HIGHMARK BLUE SHIELD
PA
01
—
2075646000
INDEPENDENCE BLUE CROSS
PA
01
—
213663
HEALTHAMERICA/HEALTHASSUR
PA
01
—
7209330
AETNA
PA
Enumeration date
06/21/2006
Last updated
07/08/2007
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