Individual
MR. GEORGE M RIVERA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
505 COLLEGE AVE, OTTAWA, IL 61350-3858
(815) 434-1130
Mailing address
841 COVEY LN, COAL CITY, IL 60416-2442
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160008211
IL
Other
Enumeration date
02/26/2019
Last updated
02/26/2019
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