Most Relevant Information
Provider Data
| NPI Number: | 1003464256 |
| Provider Name: | STEPHANIE RILEY |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/30/2019 |
| Last Updated: | 08/30/2019 |
Provider Practice Location
7701 E 21ST ST
INDIANAPOLIS
IN
462192406
Practice Location Phone/Fax
| Phone: | 3173291000 |
| Fax: |
Provider Mailing Location
7701 E 21ST ST
INDIANAPOLIS
IN
462192406
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |