Individual
ROBERT RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
11 BORDER ST, WOBURN, MA 01801-5501
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1973
MA
Other
Enumeration date
03/31/2007
Last updated
07/08/2007
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