Individual
JOHN REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
121 NANTASKET AVE, SUITE 105, HULL, MA 02045-3106
(781) 706-7574
Mailing address
121 NANTASKET AVE, SUITE 105, HULL, MA 02045-3106
(781) 706-7574
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0029549
NEIGHBORHOOD HEALTH PLAN
MA
05
—
0379212
—
MA
01
—
3444114
AETNA
MA
01
—
Y65487
BCBS
MA
Enumeration date
07/27/2006
Last updated
09/06/2022
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