| NPI | 1639316631 |
|---|---|
| Former Name | GILLIAN M RIVAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 10715) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: HI 2969) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2014-04-16 |