Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelley Ann Riley, COTA/L

Individual provider Prevention Professional · NPI 1669906178

Kelley Ann Riley, COTA/L is a Prevention Professional in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

4328 Gresham St
San Diego, CA 92109
Phone: (860) 874-4409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prevention Professional (primary) Taxonomy 405300000X · Licence 3782 (CA)

Record details

NPI number1669906178
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedApril 12, 2017
Last updated in NPPESApril 12, 2017

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