Healthcare Provider Details

I. General information

NPI: 1225460462
Provider Name (Legal Business Name): BRITTANY ROIGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2013
Last Update Date: 07/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2319 7TH ST W
SAINT PAUL MN
55116-2813
US

IV. Provider business mailing address

2319 7TH ST W
SAINT PAUL MN
55116-2813
US

V. Phone/Fax

Practice location:
  • Phone: 651-251-3078
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number104104
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: