Individual
ELIZABETH WYNNE REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, ATP
Contact information
Practice address
6369 MCCALLUM ST, PHILADELPHIA, PA 19144-2551
(215) 901-6862
Mailing address
6369 MCCALLUM ST, PHILADELPHIA, PA 19144-2551
(215) 901-6862
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT003098E
PA
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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