Individual
GENESIS RIVERA SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3016 LONGTOWN COMMONS DR STE 200A&305, COLUMBIA, SC 29229-7861
(803) 314-0500
Mailing address
3101 ASHLYNN WAY, SUMTER, SC 29154-8280
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11597
SC
Other
Enumeration date
09/10/2025
Last updated
03/18/2026
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