GEORGE M RIVERA

OTTAWA, IL
NPI1871050849
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160008211)
Enumeration Date2019-02-26
Last Update Date2019-02-26
Business Address
Mr. GEORGE M RIVERA PTA
505 COLLEGE AVE
OTTAWA, IL 61350-3858
Phone number: 815-434-1130
Mailing Address
Mr. GEORGE M RIVERA PTA
841 COVEY LN
COAL CITY, IL 60416-2442
Phone number:
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