Provider Demographics
NPI:1932290459
Name:RILEY, CHRISTINA VALERIE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:VALERIE
Last Name:RILEY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21170 ASHBY PONDS BLVD
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-6128
Mailing Address - Country:US
Mailing Address - Phone:571-291-6190
Mailing Address - Fax:571-291-6191
Practice Address - Street 1:21170 ASHBY PONDS BLVD
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-6128
Practice Address - Country:US
Practice Address - Phone:571-291-6190
Practice Address - Fax:571-291-6191
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2018-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013736-1225X00000X
VA0119003652225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist