Individual
REGINA MARIE RILEY
Active
Individual
REGINA MARIE RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS, CDP
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
62084
MS
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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