Individual
MR. ROBERT E. REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1911 WILLIAMS DR, 110, OXNARD, CA 93036-2612
(805) 981-4223
(805) 981-3351
Mailing address
8653 NYE RD, VENTURA, CA 93001-1012
(805) 649-9250
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT18548
CA
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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