Individual
MICHAEL LEE RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
331 RAINTREE DR, ALTOONA, FL 32702-9609
(888) 595-9061
Mailing address
10615 SE 142ND AVENUE RD, OCKLAWAHA, FL 32179-4157
(228) 238-2510
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17189
FL
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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