Individual
MRS. NICOLE O RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
15 WILLOW OAK RD W, HILTON HEAD, SC 29928-4408
(304) 677-8463
Mailing address
15 WILLOW OAK RD W, HILTON HEAD, SC 29928-4408
(304) 677-8463
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3293
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3293
BOARD OF OCCUPATIONAL THEAPY EXAMINERS
SC
Enumeration date
05/22/2010
Last updated
05/22/2010
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