| NPI | 1700147626 |
|---|---|
| Former Name | ANNA RIVERA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT026891) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 38902) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2018-11-27 |