DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EBENEZER RIVERSON JR.

Active

EBENEZER RIVERSON JR. is a Physical Therapy Assistant healthcare provider located in GERMANTOWN, Maryland. NPI 1336877448 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · GERMANTOWN, MD

Registration Details

NPI Number
1336877448
Provider Type
Individual
Gender
Male
NPI Issued
Aug 8, 2022 (4.0136865736968 yrs)
Last Updated
Aug 19, 2023
License
29079 (MD)

Practice Information

Address
20410 OBSERVATION DR STE 205
GERMANTOWN, MD, 208766422
Browse MD providers · Browse ZIP 20876
Phone
3015288096
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in GERMANTOWN, MD

Name Credential NPI
MR. ERIC K BERQUIST PT 1376559419
JAY R SHEPHERD PT 1275622011
JOHN MICHAEL KITCHEN PT 1023190758
SEEMA MOHABAT PT 1902969637
ANA SOTO EMMET PT 1710040449
SHANNON MURPHY PT 1891858528
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.