Individual
ANDERW Q RIOVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2417 FENTON ST STE A, CHULA VISTA, CA 91914-3517
(619) 591-7000
(619) 591-7049
Mailing address
311 BROADWAY, CHULA VISTA, CA 91910-3501
(619) 422-0404
(619) 422-4153
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT307190
CA
2251S0007X
Sports Physical Therapist
PT307190
CA
2251X0800X
Orthopedic Physical Therapist
PT307190
CA
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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