Individual
MIRIAM N RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1546 ROBERTS AVE, WHITING, IN 46394-1122
(219) 688-7636
Mailing address
1546 ROBERTS AVE, WHITING, IN 46394-1122
(219) 688-7636
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.006353
IL
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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