Individual
JAMES RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1297 US 27 N, LAKE PLACID, FL 33852-7907
(863) 465-0568
Mailing address
1297 US 27 N, LAKE PLACID, FL 33852-7907
(863) 465-0568
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
27839
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27-1628874
MEDICARE
NY
Enumeration date
12/22/2017
Last updated
03/17/2018
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