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Individual
ZACHARY RILEY
Active
Individual
ZACHARY RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA01984100
NJ
225100000X
Physical Therapist
Primary
PT028379
PA
2255A2300X
Athletic Trainer
25MT00192700
NJ
2255A2300X
Athletic Trainer
RTO000184
PA
Other
Enumeration date
04/21/2014
Last updated
11/09/2021
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