MEDICARE: MS. JOY ANN RIGGI OTR L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist		IL

General Provider Information

NPI Number	:	1083724249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JOY ANN RIGGI OTR L

Provider Business Mailing Address
First Line	:	8933 W 97TH ST
Second Line	:
City	:	PALOS HILLS
State	:	IL
Zip	:	60465
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9649 WEST 55TH STREET
Second Line	:
City	:	COUNTRYSIDE
State	:	IL
Zip	:	60525
Country	:	US
Telephone Number	:	708-352-3580
Fax Number	:	708-352-2715

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/08/2007

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