Joanna Lynn Riley
Occupational Therapist - Physical Rehabilitation
1211 Royalty Ave
Odessa
, Texas 79761-2952
Joanna Lynn Riley
Occupational Therapist - Physical Rehabilitation
1211 Royalty Ave
Odessa
, Texas 79761-2952
(432) 638-4544
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About
Features
Specialties
- Occupational Therapist - Physical Rehabilitation
Languages spoken
- English
Location
First Address
- Joanna Lynn Riley
- Po Box 14774
- Odessa, TX
- Zip : 79768-4774
- Phone : (432) 638-4544
Second Address
- Joanna Lynn Riley
- 1211 Royalty Ave
- Odessa, TX
- Zip : 79761-2952
- Phone : (432) 638-4544
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 109122 | TX |
National Provider Identifier
| NPI | 1255617270 |
|---|---|
| Provider Name | Joanna Lynn Riley |
| First Address | Odessa, TX 79768-4774 |
| Second Address | Odessa, TX 79761-2952 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/10/2011 |
| Last Update Date | 24/10/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.