| Tara Lyn Riley, OTR/L | |
|
75-127 Lunapule Road, #11, Kailua Kona, HI 96740 | |
| (808) 326-7778 | |
| (808) 326-4063 |
| Full Name | Tara Lyn Riley |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 75-127 Lunapule Road, Kailua Kona, Hawaii |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639223282 | NPI | - | NPPES |
| 5T431 | Other | AR BLUE CROSS BLUE SHEILD | |
| 130525721 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | OTR1131 (Arkansas) | Secondary |
| 225X00000X | Occupational Therapist | OT-947 (Hawaii) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Lyn Riley, OTR/L 75-5851 Kuakini Hwy, #34, Kailua Kona, HI 63740 Ph: (429) 842-7161 | Tara Lyn Riley, OTR/L 75-127 Lunapule Road, #11, Kailua Kona, HI 96740 Ph: (808) 326-7778 |
Kristina M. Fox, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 78-6957 Kamehameha Iii Rd, Kailua Kona, HI 96740 Phone: 808-322-2790 Fax: 808-322-8813 | |
Ashley Mckellar, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 78-6957 Kamehameha Iii Rd, Kailua Kona, HI 96740 Phone: 808-322-2790 | |
Ms. Joy Magnusson, BSC(OT) Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 75-165 Hualalai Rd, Kailua Kona, HI 96740 Phone: 808-329-0591 | |
Wendy Young, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 75-165 Hualalai Rd., Kailua Kona, HI 96740 Phone: 808-329-0591 Fax: 808-329-2066 | |
Merril Hope Kornbluth, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 75-165 Hualalai Rd, Kailua Kona, HI 96740 Phone: 808-329-0591 Fax: 808-329-2066 | |
Diane Irene Bergeron, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 78-6957 Kamehameha Iii Rd, Kailua Kona, HI 96740 Phone: 808-322-2790 Fax: 808-322-8813 | |
Ms. June Junko Sutterfield, OCCUPATIONAL THERAPI Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 75-165 Hualalai Rd., Kailua Kona, HI 96740 Phone: 808-329-0591 Fax: 808-329-2066 |