Individual
JEREMY RIVADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1125 FORREST AVE, SUITE 101, DOVER, DE 19904-3483
(302) 735-4900
(302) 735-4671
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0001635
DE
Other
Enumeration date
06/02/2006
Last updated
06/24/2024
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