Athena Rivers, ED.S.

NPI #1790101178 in Lorain, Ohio

Provider Information

NPI Number: 1790101178
Entity Type: Individual
Name: Athena Rivers, ED.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: ED.S.
Enumeration Date: Mar 10, 2014
Last Updated: Mar 10, 2014

Practice Location

Address: 2319 E 34TH ST
City: Lorain
State: Ohio
ZIP Code: 44055-2027
Phone: (440) 277-1240

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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