Individual
KAREN KROL-REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5 FORDHAM RD, SHOREHAM, NY 11786-1232
(631) 849-2599
Mailing address
5 FORDHAM RD, SHOREHAM, NY 11786-1232
(631) 849-2599
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
00259-1
NY
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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