Individual
BRANDY RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
830 29TH ST, ORLANDO, FL 32805-6219
(407) 843-3230
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3422
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA24454
FL
Other
Enumeration date
06/05/2020
Last updated
06/12/2020
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