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Individual

MR. MARC THOMAS RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
2667 CORNING RD, HORSEHEADS, NY 14845-4202
(607) 739-1700
(607) 739-1792
Mailing address
808 W CHURCH ST, ELMIRA, NY 14905-2324
(607) 346-7587

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
62029776
NY
2251X0800X
Orthopedic Physical Therapist
PT017897
PA
2255A2300X
Athletic Trainer
RT003170
PA

Other

Enumeration date
02/07/2007
Last updated
11/05/2011
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