Individual
MS. CARMEN L. RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1532 GUNSMITH DR, LUTZ, FL 33559-3301
(813) 972-2000
Mailing address
1532 GUNSMITH DR, LUTZ, FL 33559-3301
(813) 972-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
365
PR
Other
Enumeration date
07/02/2006
Last updated
07/08/2007
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