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Individual

OLIVIA REILLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
440 MEYERKORD AVE, NEWPORT, RI 02841-1650
(401) 841-1248
Mailing address
9259 BLUE SKY CT, OWINGS, MD 20736-3328

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
AT00139
RI
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
04/17/2017
Last updated
02/17/2026
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