MR. LUIS RIVERA JR., PTA

Contractor

Active Individual
NPI: 1740557313

Practice Address

21415 43RD AVENUE CT E
Spanaway, WA 98387

Phone: (253) 359-4195

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes P160103900 (WA)

Frequently Asked Questions

NPI 1740557313 is the National Provider Identifier for MR. LUIS RIVERA JR., PTA, a Contractor provider located in Spanaway, WA. This NPI was enumerated on November 25, 2011.
MR. LUIS RIVERA JR., PTA practices at 21415 43RD AVENUE CT E, Spanaway, WA 98387.

Quick Facts

NPI
1740557313
Type
Individual
Enumerated
Nov 25, 2011
Last Updated
Nov 25, 2011

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