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1558569202
JOSE MANUEL RIVERA
COLUMBIA, SC
NPI
1558569202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: SC 1355)
Enumeration Date
2007-07-04
Last Update Date
2007-07-08
Business Address
MR. JOSE MANUEL RIVERA COTA
7601 PARKLANE RD
COLUMBIA, SC 29223-6122
Phone number: 803-741-9090
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Mailing Address
MR. JOSE MANUEL RIVERA COTA
1011 LEAMINGTON CIR
IRMO, SC 29063-8087
Phone number: 803-781-7213
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