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Contact Information

KELLEY A RILEY, COTA/L
4328 GRESHAM ST
SAN DIEGO, CA92109
 Phone: 860-874-4409
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prevention Professional

405300000X
Indicates primary specialty

NPI Profile & details for KELLEY A RILEY · (Female)

NPI Number 1669906178
Status Active
Credentials COTA/L (Licensed Certified Occupational Therapy Assistant )
Entity Individual
Enumeration date 04/12/2017
Last updated 04/12/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 3782
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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