Individual
MRS. DIANE CAROL REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2125 ELIZABETH AVENUE, LAURELDALE, PA 19605-2259
(610) 921-9292
(610) 929-7985
Mailing address
2125 ELIZABETH AVENUE, LAURELDALE, PA 19605-2259
(610) 921-9292
(610) 929-7985
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
TE000709L
PA
225200000X
Physical Therapy Assistant
Primary
TE1001104
PA
Other
Enumeration date
10/09/2008
Last updated
01/23/2023
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