Individual
MS. LAURIE ANN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
APPALACHIAN STATE UNIVERSITY, 010A HCC, BOONE, NC 28608-0001
(828) 262-7431
Mailing address
204 FURMAN RD, #8, BOONE, NC 28607-5033
(828) 719-7059
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1004
NC
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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