NPI 1003621103
Andrew Rivera, PTA
Practice location
- Address
- 3900 S Florida Ave STE 107, Lakeland, FL 33813-1150
- Phone
- (863) 647-3665
- Mailing address
- 3647 Lazy Lake Dr S, Lakeland, FL 33801-6470
Registered specialties
Orthopedic Physical Therapist
Primary
Registry record
- NPI
- 1003621103
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 Feb 2025
- Record last updated
- 7 Aug 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.