Individual
SAMANTHA EDEN RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
800 2ND ST, WOODLAND, WA 98674-8349
(360) 841-2700
Mailing address
8904 NE 30TH AVE, VANCOUVER, WA 98665-9502
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P161406939
WA
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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