Most Relevant Information
Provider Data
| NPI Number: | 1003591512 |
| Provider Name: | ELIZABETH RIVERA |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | R03355 |
Most Important Dates
| Enumeration Date: | 06/21/2023 |
| Last Updated: | 06/21/2023 |
Provider Practice Location
12345 PARKLAWN DR STE R52
ROCKVILLE
MD
208521725
Practice Location Phone/Fax
| Phone: | 3016338247 |
| Fax: |
Provider Mailing Location
12345 PARKLAWN DR STE R52
ROCKVILLE
MD
208521725
Provider Mailing Phone/Fax
| Phone: | 3016338247 |
| Fax: |