Individual
PATRICIA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
12460 BASS LAKE RD, CHARDON, OH 44024-8315
(440) 285-5979
Mailing address
11786 LAKE RD, CHARDON, OH 44024-9456
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0683
OH
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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