Individual
BRIONDA S RILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5918 COREY LN, APT 1BL, OAK FOREST, IL 60452-2970
(708) 374-0659
Mailing address
5918 COREY LANE, APT 1BL, OAK FOREST, IL 60452
(708) 374-0659
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
057.003078
IL
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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