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1114462975
ROBERTO RIVERA
SAN DIEGO, CA
NPI
1114462975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: CA 48274)
Enumeration Date
2017-01-03
Last Update Date
2017-01-03
Business Address
Mr. ROBERTO RIVERA PTA
1201 34TH ST
SAN DIEGO, CA 92102-2416
Phone number: 619-232-2946
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Mailing Address
Mr. ROBERTO RIVERA PTA
6333 COLLEGE GROVE WAY UNIT 13106
SAN DIEGO, CA 92115-7270
Phone number:
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