Individual
GLYSELL RIVERA-ALICEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT COMT
Contact information
Practice address
550 W FRONTAGE RD STE 3800, NORTHFIELD, IL 60093-1242
(800) 974-4378
(630) 515-1536
Mailing address
24014 W RENWICK RD UNIT 206, PLAINFIELD, IL 60544-8711
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.017228
IL
225100000X
Physical Therapist
11-06848
KS
225100000X
Physical Therapist
15714-24
WI
225100000X
Physical Therapist
2390
SD
225100000X
Physical Therapist
4611
PR
225100000X
Physical Therapist
5501020266
MI
225100000X
Physical Therapist
PT019659
OH
225100000X
Physical Therapist
PT029565
PA
225100000X
Physical Therapist
PT37444
FL
225100000X
Physical Therapist
PTH10376
AL
Other
Enumeration date
08/03/2009
Last updated
03/27/2023
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