Carla Riley, PTA

NPI #1427201276 in Destin, Florida

Provider Information

NPI Number: 1427201276
Entity Type: Individual
Name: Carla Riley, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Oct 24, 2008
Last Updated: Oct 24, 2008

Practice Location

Address: 7720 US HIGHWAY 98 W
Address 2: SUITE 220
City: Destin
State: Florida
ZIP Code: 32550-7230
Phone: (850) 123-4567

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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