Kelley Ann Riley, COTA/L
Prevention Professional in San Diego, CA. Individual provider (NPI-1).
NPI number1669906178
StatusActive
Last updated in NPPESApr 12, 2017
Details
- NPI
- 1669906178
- Entity type
- Individual (NPI-1)
- Name
- Kelley Ann Riley
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 12, 2017
- Last updated
- Apr 12, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 405300000X | Prevention Professional | 3782 | CA | Yes |
Practice location
4328 Gresham StSan Diego, CA 92109
Phone 860-874-4409
Mailing address
4328 Gresham StSan Diego, CA 92109
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Prevention Professional providers in San Diego, CA
- Mary Joan Brackin, HEALTH COACHNPI 1801550652
- Alejandro MunozNPI 1548797806
- Lauren Patterson, MOT, OTR/LNPI 1437690740
- Paige TetreauNPI 1831621689
All 5 Prevention Professional providers in San Diego · All 61,118 providers in San Diego
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