Individual
MRS. LAUREN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10630 LITTLE PATUXENT PKWY STE 314M28, COLUMBIA, MD 21044-3264
(202) 255-7726
Mailing address
10630 LITTLE PATUXENT PKWY STE 314M28, COLUMBIA, MD 21044-3264
(202) 255-7726
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24186
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
258058600
—
MD
Enumeration date
06/11/2014
Last updated
06/21/2021
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