Healthcare Provider Details

I. General information

NPI: 1538027396
Provider Name (Legal Business Name): ISABELLE FEEDHAM REILLY OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2026
Last Update Date: 04/26/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3460 TORRANCE BLVD STE 100
TORRANCE CA
90503-5812
US

IV. Provider business mailing address

1821 PACIFIC COAST HWY APT 15
HERMOSA BEACH CA
90254-3102
US

V. Phone/Fax

Practice location:
  • Phone: 310-371-8555
  • Fax:
Mailing address:
  • Phone: 262-955-4087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number27963
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: