Individual
MR. LUIS ALFREDO RIVERA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2615 N DOWNER AVE, MILWAUKEE, WI 53211-4245
(414) 962-4400
(414) 962-5674
Mailing address
403 W MEQUON RD, MEQUON, WI 53092-3514
(262) 643-4771
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070016815
IL
2251X0800X
Orthopedic Physical Therapist
11189-24
WI
Other
Enumeration date
11/10/2006
Last updated
12/07/2009
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