Tara Angela Rivera

NPI #1023825080 in Orlando, Florida

Provider Information

NPI Number: 1023825080
Entity Type: Individual
Name: Tara Angela Rivera
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Dec 13, 2024
Last Updated: Dec 13, 2024

Practice Location

Address: 1915 RIVER PARK BLVD
City: Orlando
State: Florida
ZIP Code: 32817-4803
Phone: (407) 694-7042

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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