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Individual

KATHY A RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, CHT

Contact information

Practice address
515 RAY C HUNT DR, CHARLOTTESVILLE, VA 22903-2981
(434) 244-2015
(434) 243-0320
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206192
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1568452415
VA
01
192939
BCBS (PHYSICAL THERAPY)
VA
01
7939472
AETNA
VA
01
P00777042
RAILROAD MEDICARE
VA
Enumeration date
10/24/2005
Last updated
08/11/2023
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