Individual
RILEY REGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2812 SILVER CREEK RD, BULLHEAD CITY, AZ 86442-8309
(928) 763-1404
Mailing address
2812 SILVER CREEK RD, BULLHEAD CITY, AZ 86442-8309
(928) 763-1404
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
12533APTA
AZ
225200000X
Physical Therapy Assistant
Primary
61145197
WA
Other
Enumeration date
09/08/2016
Last updated
08/10/2021
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