Individual
ROLAND RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5920 SANDY FORKS RD STE 200, RALEIGH, NC 27609-3814
(919) 954-3492
Mailing address
6505 JADE TREE LN, RALEIGH, NC 27615-6914
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1479
NC
Other
Enumeration date
10/05/2017
Last updated
10/05/2017
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