Individual
MS. AIDA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT, ATC , LAT
Contact information
Practice address
311 W BASS ST, KISSIMMEE, FL 34741-5011
(407) 870-5959
(407) 933-6468
Mailing address
2455 TESORO CT, KISSIMMEE, FL 34744-3924
(407) 414-7332
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT22425
FL
2255A2300X
Athletic Trainer
AL 1979
FL
Other
Enumeration date
02/16/2006
Last updated
02/05/2008
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