Individual
RILEY VAN DER LOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3213 SHADYLAWN DR, DUARTE, CA 91010-1666
(626) 224-2848
Mailing address
3213 SHADYLAWN DR, DUARTE, CA 91010-1666
(626) 224-2848
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
07/29/2026
Last updated
07/29/2026
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