Individual
TANYA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 NORTH AVE APT 26A, SECANE, PA 19018-3554
(215) 370-6971
Mailing address
333 NORTH AVE APT 26A, SECANE, PA 19018-3554
(215) 370-6971
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG012737
PA
225700000X
Massage Therapist
—
PA
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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