| Doctor Name: | MR. MARC THOMAS RILEY |
| NPI Number: | 1114067477 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | PT017897 |
| Business Practice Address: | 2667 Corning Rd Horseheads, NY - 148454202 |
| Business Phone Number: | 6077391700 |
| Business Fax Number: | 6077391792 |
| Mailing Address: | 808 W Church St, ELMIRA |
| State: | NY |
| Postal Code: | 149052324 |
| Phone Number: | 6073467587 |
| Fax Number: | |
| NPI Enumeration Date: | 02/07/2007 |
| NPI Last Update Date: | 11/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | PT017897 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |