Individual
JIVAUN DALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4300 CENTRAL AVE, RIVERSIDE, CA 92506-2918
(951) 222-2208
Mailing address
14243 HARVEST VALLEY AVE, EASTVALE, CA 92880-9439
(818) 635-0080
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
54135
CA
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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