Blanca Iris Rivera PTA

NPI 1053504886 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1053504886
Gender Female
Enumeration Date 08/24/2007
Last Updated 11/15/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
16101 WEBER RD
CRESTHILL IL, 60403-8812, US
Phone (815) 306-1100
Fax (815) 306-1105
Business Location
16101 WEBER RD
CRESTHILL IL, 60403-8812, US
Phone (815) 306-1100
Fax (815) 306-1105
Toxanomy
Taxonomy Code 225200000X
License State Illinois
License Number 160004817
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According to our database, Blanca Iris Rivera PTA NPI is 1053504886, taxonomy code is 225200000X and license number is 160004817, license state is located at Illinois. Blanca Iris Rivera PTA physically located at 16101 Weber Rd, Cresthill IL, 60403-8812. NPI Number Blanca Iris Rivera PTA has the Individual type.

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1053504886 NPI number is provided on an as is basis without warranty of any kind. 1053504886 is maintained by the National Plan & Provider Enumeration System. The contents of Blanca Iris Rivera PTA are for informational purposes only.