Individual
MR. ROBERTO RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1201 34TH ST, SAN DIEGO, CA 92102-2416
(619) 232-2946
Mailing address
6333 COLLEGE GROVE WAY UNIT 13106, SAN DIEGO, CA 92115-7270
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48274
CA
Other
Enumeration date
01/03/2017
Last updated
01/03/2017
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