Blanca Iris Rivera, PTA

NPI #1053504886 in Cresthill, Illinois

Provider Information

NPI Number: 1053504886
Entity Type: Individual
Name: Blanca Iris Rivera, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 24, 2007
Last Updated: Nov 15, 2013

Practice Location

Address: 16101 WEBER RD
City: Cresthill
State: Illinois
ZIP Code: 60403-8812
Phone: (815) 306-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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