Individual
JULIAN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7300 WASHINGTON AVE, RACINE, WI 53406
(262) 321-6000
Mailing address
7300 WASHINGTON AVE, RACINE, WI 53406
(262) 321-6000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13301-24
WI
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
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