Individual
JUVY RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
140 PALMA DR, STATEN ISLAND, NY 10304-3400
(718) 447-1191
Mailing address
140 PALMA DR, STATEN ISLAND, NY 10304-3400
(718) 447-1191
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
022482-1
NY
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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