Individual
GENO ROMAN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
16605 E PALISADES BLVD STE 144, FOUNTAIN HILLS, AZ 85268-3717
(602) 571-4407
Mailing address
4247 E ROMA AVE, PHOENIX, AZ 85018-4250
(602) 571-4407
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7926A
AZ
Other
Enumeration date
11/29/2007
Last updated
11/29/2007
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