Individual
BLANCA ISELA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
13609 CALIFORNIA ST, OMAHA, NE 68154-5260
(800) 259-9897
Mailing address
9115 BELLA VITA CIR, LAND O LAKES, FL 34637-3504
(813) 294-0096
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT9874
FL
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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