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Individual

MRS. REBEKAH A RILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
249 CAMPBELL RD, TROUT RUN, PA 17771-8671
(570) 971-4383
Mailing address
249 CAMPBELL RD, TROUT RUN, PA 17771-8671

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1004537
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
225200000X
PA
Enumeration date
01/16/2018
Last updated
01/16/2018
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