Doctor Name: | MRS. KERRI REILLY |
NPI Number: | 1821400037 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, PT |
License Number: | 18805 |
Business Practice Address: | 22 Franklin Rd Sound Beach, NY - 117892618 |
Business Phone Number: | 6312090777 |
Business Fax Number: | |
Mailing Address: | 22 Franklin Rd, SOUND BEACH |
State: | NY |
Postal Code: | 117892618 |
Phone Number: | 6312090777 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2014 |
NPI Last Update Date: | 05/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | 18805 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |