Individual
MRS. KELLY ANN RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1409 AUDUBON BLVD STE B4, WILMINGTON, NC 28403-6753
(910) 392-2240
(910) 392-2242
Mailing address
1409 AUDUBON BLVD, WILMINGTON, NC 28403-6749
(910) 392-2240
(910) 392-2242
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10422
NC
2251P0200X
Pediatric Physical Therapist
Primary
10422
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7211961
—
NC
Enumeration date
01/08/2007
Last updated
10/27/2023
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