Individual
MRS. DINAH SUE REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
179 SW 5TH AVE, MERIDIAN, ID 83642-2995
(208) 367-8282
Mailing address
4048 S IRIONDO WAY, BOISE, ID 83706-5784
(208) 345-2657
Taxonomy
Speciality
Code
Description
License number
State
283XC2000X
Children's Rehabilitation Hospital
Primary
PT-474
ID
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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