Most Relevant Information
Provider Data
| NPI Number: | 1003040551 |
| Provider Name: | IRVING RILEY PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 4191 |
Most Important Dates
| Enumeration Date: | 05/13/2009 |
| Last Updated: | 05/13/2009 |
Provider Practice Location
351 N AIR DEPOT BLVD STE X
MIDWEST CITY
OK
731101760
Practice Location Phone/Fax
| Phone: | 4057321766 |
| Fax: |
Provider Mailing Location
351 N AIR DEPOT BLVD STE X
MIDWEST CITY
OK
731101760
Provider Mailing Phone/Fax
| Phone: | 4057321766 |
| Fax: |