Individual
SANDRA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 N HOOKER ST STE 301, CHICAGO, IL 60642-4633
(312) 943-3600
(866) 410-9192
Mailing address
10828 MASSASOIT AVE, CHICAGO RIDGE, IL 60415-2415
(773) 653-3095
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160005840
—
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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