IndividualActive
Kelley Riley, COTA/L
NPI 1669906178 · Prevention Professional · San Diego, CA
Provider details
- NPI number
- 1669906178
- Entity type
- Individual
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 3782 (CA)
Mailing address
4328 Gresham St
San Diego, CA 92109
Registry dates
- Enumerated
- 2017-04-12
- Last updated
- 2017-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.