Individual
KERI M REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
129A HILLSIDE AVE, WILLISTON PARK, NY 11596-2305
(516) 742-5243
Mailing address
129A HILLSIDE AVE, WILLISTON PARK, NY 11596-2305
(516) 742-5243
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
010437-1
NY
Other
Enumeration date
02/13/2012
Last updated
02/13/2012
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