Individual
CASSANDRA SUSAN REILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1625 S STATE ST, BELVIDERE, IL 61008-5907
(815) 544-1354
Mailing address
1401 E STATE ST, ROCKFORD, IL 61104-2298
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160007957
IL
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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