Provider Demographics
NPI:1679619340
Name:RIVIERE, DANIEL L (MSS, PT)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:L
Last Name:RIVIERE
Suffix:
Gender:M
Credentials:MSS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 JONES RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03055-3100
Mailing Address - Country:US
Mailing Address - Phone:603-672-5209
Mailing Address - Fax:603-672-0557
Practice Address - Street 1:10 JONES RD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:NH
Practice Address - Zip Code:03055-3100
Practice Address - Country:US
Practice Address - Phone:603-672-5209
Practice Address - Fax:603-672-0557
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1554225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist