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Organization
RILEY THERAPY, PA
Active
Organization
RILEY THERAPY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOHANNA BRANDON BERTINO RD, LD (DIETITIAN)
(859) 539-3999
Entity
Organization
Contact information
Practice address
17 TOY ST, GREENVILLE, SC 29601-3122
(859) 539-3999
Mailing address
17 TOY ST, GREENVILLE, SC 29601
(859) 539-3999
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/10/2014
Last updated
11/18/2014
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