Healthcare Provider Details

I. General information

NPI: 1295666949
Provider Name (Legal Business Name): CHRISTINA ANN REILLEY OTD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21966 DOLORES ST
CASTRO VALLEY CA
94546-6959
US

IV. Provider business mailing address

8 NORTH ST
ASHLAND PA
17921-9239
US

V. Phone/Fax

Practice location:
  • Phone: 510-733-2102
  • Fax:
Mailing address:
  • Phone: 570-204-7281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: