Individual
SHELLEY RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6400 UPTOWN BLVD NE, ALBUQUERQUE, NM 87110-4202
(505) 855-9935
Mailing address
PO BOX 25704, ALBUQUERQUE, NM 87125-0704
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1771
NM
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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