MEDICARE: KATHLEEN RIGLEY OTR

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	5201004051	MI

General Provider Information

NPI Number	:	1386721801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN RIGLEY OTR

Provider Business Mailing Address
First Line	:	3792 GILLETT CT
Second Line	:
City	:	HOWELL
State	:	MI
Zip	:	48843-6522
Country	:	US
Telephone Number	:	517-552-1424
Fax Number	:

Provider Business Practice Location Address
First Line	:	7743 GRAND RIVER RD STE 100
Second Line	:
City	:	BRIGHTON
State	:	MI
Zip	:	48114-9349
Country	:	US
Telephone Number	:	810-227-3588
Fax Number	:	810-227-4993

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	07/08/2007

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Directions to “ KATHLEEN RIGLEY OTR” Practice Location

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