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Individual
MR. LUIS ALFREDO RIVERA JR.
Active
Individual
MR. LUIS ALFREDO RIVERA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070016815
IL
2251X0800X
Orthopedic Physical Therapist
11189-24
WI
Other
Enumeration date
11/10/2006
Last updated
12/07/2009
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