Individual
GLORIA MARIA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1 CARMANS RD, MASSAPEQUA PARK, NY 11762-1438
(516) 608-6200
Mailing address
1 SHELART ST, PLAINVIEW, NY 11803-1420
(516) 349-3091
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
005978-1
NY
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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