Most Relevant Information
Provider Data
| NPI Number: | 1003273301 |
| Provider Name: | VICTORIA RIVERA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 001636 |
Most Important Dates
| Enumeration Date: | 01/19/2016 |
| Last Updated: | 09/10/2018 |
Provider Practice Location
22 TOMPKINS ST
WATERBURY
CT
067081458
Practice Location Phone/Fax
| Phone: | 2034190381 |
| Fax: | 2034190389 |
Provider Mailing Location
22 TOMPKINS ST
WATERBURY
CT
067081458
Provider Mailing Phone/Fax
| Phone: | 2034190381 |
| Fax: | 2034190389 |