Individual
COURTNEY PAIGE RIVADENEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
7718 WOOD HOLLOW DR STE 105, AUSTIN, TX 78731-1601
(512) 795-0053
Mailing address
6712 TANAQUA CV, AUSTIN, TX 78739-2023
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1281989
TX
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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