Individual
KAREN RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(631) 476-2737
Mailing address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(631) 476-2737
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
66008346
NY
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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