Stacy A Rivera

NPI #1134354871 in Dunn, North Carolina

Provider Information

NPI Number: 1134354871
Entity Type: Individual
Name: Stacy A Rivera
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Enumeration Date: May 26, 2009
Last Updated: May 26, 2009

Practice Location

Address: 111 S RAILROAD AVE
City: Dunn
State: North Carolina
ZIP Code: 28334-4853
Phone: (910) 892-0027

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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