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MR. SANTOS RIVERA III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
1128 E DERENNE AVE, SAVANNAH, GA 31406
(912) 344-4973
Mailing address
12 SUMMER LAKE WAY, SAVANNAH, GA 31407-3544
(912) 224-7544

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 003117
GA

Other

Enumeration date
10/26/2015
Last updated
10/26/2015
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