Individual
CHARLES RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
100 RESERVOIR RD, SAINT CLAIRSVILLE, OH 43950-1064
(740) 695-7233
Mailing address
13645 GETZ LN, NEW CONCORD, OH 43762-7500
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA08534
OH
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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