Individual
MA. CRISTINA DIVINA RIVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12665 GARDEN GROVE BLVD STE 603, GARDEN GROVE, CA 92843-1920
(714) 643-9012
(714) 643-9015
Mailing address
12771 CHELSEA CIR, GARDEN GROVE, CA 92840-4109
(657) 636-3499
(714) 643-9015
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
53693
CA
Other
Enumeration date
10/30/2024
Last updated
12/23/2024
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