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Individual
JENNIFER RIVERA
Active
Individual
JENNIFER RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
025978-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650021313
RR MEDICARE
NY
Enumeration date
01/12/2006
Last updated
08/01/2012
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