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Individual

SPIRIDOULA J. RILEY

Active
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Individual

SPIRIDOULA J. RILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT, ATC, MSAT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01171600
NJ
2255A2300X
Athletic Trainer
25MT00128300
NJ

Other

Enumeration date
02/12/2020
Last updated
02/12/2020
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