Individual
ELENA MARIE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 THE WOODS DR APT 404, SAN JOSE, CA 95136-3847
(408) 659-5964
Mailing address
1356 RIDDER PARK DR, SAN JOSE, CA 95131-2313
(669) 239-5883
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
06/23/2025
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