Individual
MR. JOSERIZAL RIVERA COTENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
706 NORTH AVE, NONE, BATTLE CREEK, MI 49017-3231
(269) 964-4655
Mailing address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
023970
NY
225100000X
Physical Therapist
11116-24
WI
225100000X
Physical Therapist
Primary
5501016707
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41230200
—
WI
Enumeration date
02/22/2007
Last updated
12/04/2014
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