Individual
MR. JOSHUA KARL RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3300 ARAMINGO AVE, PHILADELPHIA, PA 19134-4500
(215) 427-2242
(215) 427-2433
Mailing address
1495 SYCAMORE AVE, WILLOW GROVE, PA 19090-1019
(267) 315-0934
(215) 427-2433
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003607
PA
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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