Individual
FERMIN RIVERA PASCUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
366 W BRISA DR, GILBERT, AZ 85233-7306
(480) 295-6620
Mailing address
366 W BRISA DR, GILBERT, AZ 85233-7306
(480) 295-6620
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
6104
AZ
2251G0304X
Geriatric Physical Therapist
Primary
6104
AZ
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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