Individual
MRS. LYNN T RILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4300 EVANS TO LOCKS RD, EVANS, GA 30809-8028
(706) 737-9250
(706) 733-0697
Mailing address
3517 GREENWAY DR, EVANS, GA 30809-4274
(706) 833-5513
(706) 855-1070
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT001060
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00552285C
—
GA
Enumeration date
10/12/2006
Last updated
01/28/2020
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