Individual
ROBIN RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12083 HALL AVE, NORTHFIELD, MN 55057-4892
(507) 318-9693
Mailing address
12083 HALL AVE, NORTHFIELD, MN 55057-4892
(507) 318-9693
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102605
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102605
STATE OF MINNESOTA
MN
01
—
1049813
NBCOT
—
Enumeration date
04/16/2014
Last updated
04/16/2014
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