ROBERTO RIVERA

SAN DIEGO, CA
NPI1114462975
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  48274)
Enumeration Date2017-01-03
Last Update Date2017-01-03
Business Address
Mr. ROBERTO RIVERA PTA
1201 34TH ST
SAN DIEGO, CA 92102-2416
Phone number: 619-232-2946
Mailing Address
Mr. ROBERTO RIVERA PTA
6333 COLLEGE GROVE WAY UNIT 13106
SAN DIEGO, CA 92115-7270
Phone number: