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Individual

ANNALIZA GAYE RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
8613 N MILWAUKEE AVE, APT 2W, NILES, IL 60714-1965
(331) 425-2255
Mailing address
16089 POPPYSEED CIR, UNIT 2008, DELRAY BEACH, FL 33484-6314

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.017104
IL
225100000X
Physical Therapist
PT 25255
FL

Other

Enumeration date
02/28/2012
Last updated
02/28/2012
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