Riley, Tara Lyn
Riley, Tara Lyn is an sole proprietor health care provider with primary practice located at 75-127 Lunapule Road #11, Kailua Kona HI 96740. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Riley, Tara Lyn can be contacted via phone (808) 326-7778.Contact Information
Primary practice address
75-127 Lunapule Road #11
Kailua Kona HI 96740
Phone: (808) 326-7778
Fax: (808) 326-4063
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | OTR1131 | Arkansas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT-947 | Hawaii |
Profile Details
| NPI number | 1639223282 |
|---|---|
| LBN Legal business name | Riley, Tara Lyn |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Feb 23rd, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639223282 | NPPES |
| Other | 5T431 | AR BLUE CROSS BLUE SHEILD | |
| MEDICAID | 130525721 | AR BLUE CROSS BLUE SHEILD |
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