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General NPI Number Information
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NPI Number | 1518854587
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Entity Type | Individual
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Provider Name | ASHLEY JEAN MARIE RIVERA PT, DPT, ATP
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Gender | Female
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Dates
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Enumeration Date | 06/21/2025
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Last Update Date | 06/21/2025
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Provider Practice Location Address
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Address Line | 755 MEMORIAL PKWY
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-2748
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Country | US
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Telephone | 908-847-6756
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Fax |
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Provider Business Mailing Address
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Address Line | 309 STAMETS RD
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City | MILFORD
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State | NJ
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Zip | 08848-2215
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Country | US
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Telephone | 908-399-4642
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 40QA01381900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA01381900
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License Number State | NJ
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