Individual
ALEXA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4501 MAIN ST STE 5, SHALLOTTE, NC 28470-4585
(910) 575-2775
Mailing address
80 FOSTER LN, PALM COAST, FL 32137-8435
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P23907
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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