MEDICARE: ANNE MARIE BRIGGS

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	10209	CA

General Provider Information

NPI Number	:	1245481027
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE MARIE BRIGGS

Provider Business Mailing Address
First Line	:	6514 AMBROSIA DR
Second Line	:	APARTMENT 5107
City	:	SAN DIEGO
State	:	CA
Zip	:	92124-3162
Country	:	US
Telephone Number	:	551-497-0063
Fax Number	:

Provider Business Practice Location Address
First Line	:	6514 AMBROSIA DR
Second Line	:	APARTMENT 5107
City	:	SAN DIEGO
State	:	CA
Zip	:	92124-3162
Country	:	US
Telephone Number	:	551-497-0063
Fax Number	:

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

Provider Enumeration Date	:	10/09/2008
Last Update Date	:	10/09/2008

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