Individual
EMMANUEL RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
17026 BULVERDE RD STE 108, SAN ANTONIO, TX 78247-4700
(210) 819-2994
(210) 463-5942
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1348219
TX
Other
Enumeration date
10/25/2021
Last updated
08/29/2024
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