GENESIS RIVERA SIMON

COLUMBIA, SC
NPI1942181326
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: SC  11597)
Enumeration Date2025-09-10
Last Update Date2025-09-10
Business Address
-- GENESIS RIVERA SIMON PT, DPT
3016 LONGTOWN COMMONS DR STE 200A&305
COLUMBIA, SC 29229-7861
Phone number: 803-314-0500
Mailing Address
-- GENESIS RIVERA SIMON PT, DPT
3101 ASHLYNN WAY
SUMTER, SC 29154-8280
Phone number:
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