Individual provider · Type 1 NPI

Tamra Ann Dison de Rivas

Rehabilitation Practitioner · San Luis Obispo, CA

NPI number 1033452610 Active

Practice location

1255 Kendall Rd
San Luis Obispo, CA 93401-8750

Fax (805) 503-6499

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1033452610

Tamra Ann Dison de Rivas's National Provider Identifier is 1033452610, issued on Apr 1, 2013. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Sep 9, 2025.