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Individual

MS. COLLEEN O'RILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
4407 BEE CAVE RD, BLDG 2, STE 211, WEST LAKE HILLS, TX 78746-6405
(512) 330-0961
(512) 330-0962
Mailing address
9516 ARGYLE DR, AUSTIN, TX 78749-5210
(512) 288-4043

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1172833
TX
225100000X
Physical Therapist
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11524754
CAQH PROVIDER ID
IL
Enumeration date
05/25/2006
Last updated
02/11/2008
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