Individual
DR. MARTHA DETTL-RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD, SCAT, ATC
Contact information
Practice address
1920 ALUMNI DRIVE, ROCK HILL, SC 29733-0001
(803) 323-4696
Mailing address
579 STOCKTON WAY, ROCK HILL, SC 29732-6001
(215) 264-6090
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2056
SC
Other
Enumeration date
01/24/2014
Last updated
01/17/2023
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