Individual
DR. GARRETT BEAU REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3150 N WINDING BROOK RD, FLAGSTAFF, AZ 86001-0972
(928) 774-7106
Mailing address
119 S FLORENCE ST, APT B, FLAGSTAFF, AZ 86001-5475
(928) 499-7311
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10448
AZ
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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