Geno Roman Rivera P.T.A.

NPI 1356523450 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1356523450
Gender Male
Enumeration Date 11/29/2007
Last Updated 11/29/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
16605 E PALISADES BLVD STE 144
FOUNTAIN HILLS AZ, 85268-3717, US
Phone (602) 571-4407
Fax
Business Location
4247 E ROMA AVE
PHOENIX AZ, 85018-4250, US
Phone (602) 571-4407
Fax
Toxanomy
Taxonomy Code 225200000X
License State Arizona
License Number 7926A
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According to our database, Geno Roman Rivera P.T.A. NPI is 1356523450, taxonomy code is 225200000X and license number is 7926A, license state is located at Arizona. Geno Roman Rivera P.T.A. physically located at 16605 E Palisades Blvd Ste 144, Fountain Hills AZ, 85268-3717. NPI Number Geno Roman Rivera P.T.A. has the Individual type.

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1356523450 NPI number is provided on an as is basis without warranty of any kind. 1356523450 is maintained by the National Plan & Provider Enumeration System. The contents of Geno Roman Rivera P.T.A. are for informational purposes only.