Individual
VICKEY RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
357 TUTTLE RD, CUMBERLAND, ME 04021-3625
(207) 829-4800
Mailing address
24A WOODCOCK DR, GRAY, ME 04039-6001
(207) 329-6001
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT1526
ME
Other
Enumeration date
05/17/2007
Last updated
08/17/2010
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