Individual
TANYA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4102 SHORE DR, INDIANAPOLIS, IN 46254-2608
(317) 347-9051
Mailing address
4102 SHORE DR, INDIANAPOLIS, IN 46254-2608
(317) 347-9051
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008041A
IN
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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