Individual
EMMANUEL RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13921 SHELL POINT BOULEVARD, FORT MYERS, FL 33908
(800) 780-1131
Mailing address
352 RINGWOOD CIR, WINTER SPRINGS, FL 32708-4928
(863) 605-1122
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
30062
FL
Other
Enumeration date
12/10/2020
Last updated
12/17/2020
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