Individual
MRS. JUDEEN VENESSA RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
6600 PEACHTREE DUNWOODY RD # 125, ATLANTA, GA 30328-6773
(770) 225-8421
Mailing address
715 RIMINGTON LN, DECATUR, GA 30030-2128
(404) 824-6130
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006994
GA
225100000X
Physical Therapist
0212471
NY
Other
Enumeration date
04/10/2007
Last updated
01/11/2020
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