Individual
CAMERON W. RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1610 CENTER ST, SUITE B, MOBILE, AL 36604-1512
(251) 415-1670
(251) 415-1671
Mailing address
1610 CENTER ST, SUITE B, MOBILE, AL 36604-1512
(251) 415-1670
(251) 415-1671
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT4877
MS
225100000X
Physical Therapist
Primary
PTH6763
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015077
—
MS
01
—
1033218524
GROUP NPI
MS
Enumeration date
08/31/2011
Last updated
06/10/2013
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