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1912119827
KELLY JEANETTE RIVERA
MEDINA, OH
NPI
1912119827
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OH 7471)
Enumeration Date
2007-05-04
Last Update Date
2007-07-08
Business Address
MRS. KELLY JEANETTE RIVERA P.T.
1000 E WASHINGTON ST.
MEDINA, OH 44256
Phone number: 330-725-1000
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Mailing Address
MRS. KELLY JEANETTE RIVERA P.T.
140 SPRUCEWOOD DRIVE
SEVILLE, OH 44273-8810
Phone number: 330-769-2035
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