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Individual

MS. ELISSA RIVA WEISER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA, PTA

Contact information

Practice address
1164 NORMANDY DR, MIAMI BEACH, FL 33141-2812
(305) 868-9905
Mailing address
1164 NORMANDY DRIVE, MIAMI BEACH, FL 33141
(786) 624-8693

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTA22569
FL

Other

Enumeration date
04/15/2011
Last updated
04/15/2011
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