Individual
MR. JOSE RIVERA PAREDES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5612 RUSHMERE DR, VIRGINIA BEACH, VA 23464-6751
(757) 818-1076
Mailing address
5612 RUSHMERE DR, VIRGINIA BEACH, VA 23464-6751
(757) 818-1076
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305205901
VA
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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