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Individual

MIGUEL ANGEL RIVERA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
167 NEWARK POMPTON TPKE, PEQUANNOCK, NJ 07440-1338
(973) 987-3310
Mailing address
277 PARK ST, SOMERSET, NJ 08873-2533
(908) 205-9242

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Enumeration date
11/09/2022
Last updated
11/09/2022
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