Individual
MR. MICHAEL C REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1633 CYPRESS LANE, PARADISE, CA 95969
(971) 206-5200
(971) 206-5203
Mailing address
4560 SE INTERNATIONAL WAY, STE 100, MILWAUKIE, OR 97222
(971) 206-5200
(971) 206-5203
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
953
CA
Other
Enumeration date
07/28/2009
Last updated
07/28/2009
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