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MAGAN RIVERA LPTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1003474768

Individual Registrant:
 MAGAN  RIVERA LPTA
Gender: F
Sole Proprietor

Location and contact information for practice:
212 W CAROLINE ST  BELLEVUE, MI 49021-1336 US
Tel: 269-924-7174  Fax: --

Contact information for business:
212 W CAROLINE ST  BELLEVUE, MI 49021-1336 US
Tel: 269-924-7174  Fax: --

Registration Information:
NPI: 1003474768
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
MI5502003868

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
19514952MI05




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