Individual
MRS. STEPHANIE H. RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
1300 JACKSON ST, ALEXANDRIA, LA 71301-6929
(318) 448-3848
Mailing address
128 MICHELE LN, PINEVILLE, LA 71360-6226
(504) 669-0803
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
Z11966
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720208
—
LA
Enumeration date
04/18/2008
Last updated
05/26/2021
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