Provider Demographics
NPI:1063727527
Name:RILEY, DAVID JOSEPH III (MSOTR/L)
Entity type:Individual
Prefix:PROF
First Name:DAVID
Middle Name:JOSEPH
Last Name:RILEY
Suffix:III
Gender:M
Credentials:MSOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 ROUTE 909
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:PA
Mailing Address - Zip Code:15147-3831
Mailing Address - Country:US
Mailing Address - Phone:412-826-5990
Mailing Address - Fax:
Practice Address - Street 1:500 ROUTE 909
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:PA
Practice Address - Zip Code:15147-3831
Practice Address - Country:US
Practice Address - Phone:412-826-5990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC008255225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist