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NPI Code Detail

MEDICARE: SCOTT A RIVERA PT

MEDICARE: SCOTT A RIVERA PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist009316CT

General Provider Information

NPI Number : 1649527888
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT A RIVERA PT
Provider Business Mailing Address
First Line : 230 GEORGE ST
Second Line :
City : NEW HAVEN
State : CT
Zip : 06510-3224
Country : US
Telephone Number : 203-498-5980
Fax Number : 203-498-5999
Provider Business Practice Location Address
First Line : 230 GEORGE ST
Second Line :
City : NEW HAVEN
State : CT
Zip : 06510-3224
Country : US
Telephone Number : 203-498-5980
Fax Number : 203-498-5999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2012
Last Update Date : 08/07/2012

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Directions to “ SCOTT A RIVERA PT” Practice Location

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