Individual
MRS. MICHELLE MARIE REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3391 RICHMOND AVE, STATEN ISLAND, NY 10312-2025
(718) 608-9170
Mailing address
160 BROADWAY, CLARK, NJ 07066-1845
(732) 943-2085
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
011333-1
NY
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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