Individual
TABITHA RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2002 HOLCOMBE BLVD, HOUSTON, TX 77030-4211
(713) 791-1414
(713) 794-7845
Mailing address
3614 QUAIL MEADOW DR, MISSOURI CITY, TX 77459-3728
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
PT5172
MS
Other
Enumeration date
11/21/2013
Last updated
11/21/2013
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