Individual
MS. CHRISTINE M RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1120 CHERBOURG DR, MARYVILLE, TN 37801-9339
(214) 682-1802
Mailing address
1120 CHERBOURG DR, MARYVILLE, TN 37801-9339
(214) 682-1802
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104975
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104975
OT
TX
Enumeration date
10/01/2007
Last updated
10/29/2021
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