Individual
MRS. SUSANNA WATTS RILEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
17370 W GAGES LAKE RD, GAGES LAKE, IL 60030-1831
(847) 856-2773
Mailing address
2018 GREYSTEM CIR, APARTMENT 301, GURNEE, IL 60031-9358
(970) 497-2646
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
IL
Other
Enumeration date
02/08/2006
Last updated
07/08/2007
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