NPI Search for Physicians and Health Care Providers
MAGAN RIVERA LPTA
>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant 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:
Primary | Code | Category/Description | State | License Number |
---|
Y | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapy Assistant
| MI | 5502003868 |
Legacy codes, insurance codes and state license numbers:
Issuer | Number | State | Type |
---|
| 19514952 | MI | 05 |
HEALTH CARE JOBS MI - Page 1