Individual
REANNA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
42150 JACKSON ST STE 103&104, INDIO, CA 92203-9780
(442) 300-3200
Mailing address
79769 OXFORD DR, INDIO, CA 92203-4512
(760) 636-8433
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
54002
CA
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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