JUAN RIVERA

OKLAHOMA CITY, OK
NPI1437693553
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: OK  5145)
Additional Taxonomies2251X0800X Physical Therapist, Orthopedic
(Licence:   53679)
Enumeration Date2016-12-08
Last Update Date2020-03-09
Business Address
JUAN RIVERA DPT
921 NE13TH ST
OKLAHOMA CITY, OK 73104
Phone number: 405-456-3927
Mailing Address
JUAN RIVERA DPT
18700 VIVO DR
EDMOND, OK 73012-2635
Phone number: