Individual
DIANA TAMARA RIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4820 PARK BLVD N, SUITE E, PINELLAS PARK, FL 33781-3534
(727) 369-6355
(727) 362-4766
Mailing address
7780 49TH ST N, # 154, PINELLAS PARK, FL 33781-3440
(727) 369-6355
(727) 362-4766
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27452
FL
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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