Individual
AFTON M O'REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12248-24
WI
225100000X
Physical Therapist
8162
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649435421
PREFERRED ONE
MN
01
—
6409026
MEDICA
MN
Enumeration date
07/22/2008
Last updated
03/19/2013
Update your record
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