Individual
ANDREA RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2135 WOODBURN DR SE APT 2, GRAND RAPIDS, MI 49546-4385
(616) 272-4268
Mailing address
2135 WOODBURN DR SE APT 2, GRAND RAPIDS, MI 49546-4385
(616) 272-4268
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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