Individual
MR. JEREMIAH RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1005 FISHER RD, MANY, LA 71449-3833
(318) 214-0800
Mailing address
101 ISADORE ST, NATCHITOCHES, LA 71457-5747
(318) 238-2810
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07531
LA
Other
Enumeration date
02/08/2010
Last updated
02/08/2010
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