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NPI Code Detail

MEDICARE: MS. JESSICA BROOKE RIGGS MSOTR/L

MEDICARE:  MS. JESSICA BROOKE RIGGS  MSOTR/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
1225X00000XOccupational TherapistOT005200GA

General Provider Information

NPI Number : 1427340322
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JESSICA BROOKE RIGGS MSOTR/L
Provider Business Mailing Address
First Line : 2035 KRISTIAN WAY
Second Line :
City : ROSWELL
State : GA
Zip : 30076-2251
Country : US
Telephone Number : 678-313-6608
Fax Number :
Provider Business Practice Location Address
First Line : 5991 PARKWAY NORTH BLVD
Second Line : SUITE A
City : CUMMING
State : GA
Zip : 30040-1342
Country : US
Telephone Number : 770-205-5551
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2011
Last Update Date : 05/10/2011

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Directions to “ MS. JESSICA BROOKE RIGGS MSOTR/L” Practice Location

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