Individual
AMANDA E RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC,LAT,CKTP
Contact information
Practice address
342 FIFTH AVE, PELHAM, NY 10803-1204
(914) 738-1748
Mailing address
565 BROADWAY, APT 1C, HASTINGS ON HUDSON, NY 10706-1730
(914) 819-7174
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
67002141
NY
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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