Individual
JENNIFER RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 GLENMERE COVE RD, GOSHEN, NY 10924-6059
(845) 291-4740
Mailing address
13 GRANDVIEW AVE, MIDDLETOWN, NY 10940-6316
(845) 699-3742
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
013212-01
NY
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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