Provider Demographics
NPI:1770039414
Name:PRYOR, RIANA R (PHD, ATC)
Entity Type:Individual
Prefix:DR
First Name:RIANA
Middle Name:R
Last Name:PRYOR
Suffix:
Gender:F
Credentials:PHD, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5275 N. CAMPUS DR.
Mailing Address - Street 2:M/S SG28
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93740
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5275 N. CAMPUS DR.
Practice Address - Street 2:M/S SG28
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93740
Practice Address - Country:US
Practice Address - Phone:559-278-2016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer