Individual
DAVID RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 DESPLAINES AVE, FOREST PARK, IL 60130-2035
(708) 366-2442
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070014053
IL
Other
Enumeration date
10/27/2010
Last updated
03/16/2016
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