Healthcare Provider Details

I. General information

NPI: 1568338986
Provider Name (Legal Business Name): ABIGAEL RIORDAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2025
Last Update Date: 10/13/2025
Certification Date: 10/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1685 S 21ST ST
COLORADO SPRINGS CO
80904-5123
US

IV. Provider business mailing address

6516 ANDRETTI CT
COLORADO SPRINGS CO
80922-4508
US

V. Phone/Fax

Practice location:
  • Phone: 719-329-1774
  • Fax:
Mailing address:
  • Phone: 773-677-8769
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number0009087
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: