MEDICARE: CHRISTINA L RIORDAN 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	225XH1200X	Hand Occupational Therapist	OT19522	FL
2	225X00000X	Occupational Therapist	OT19522	IN
3	225XH1200X	Hand Occupational Therapist	OT19522	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00710223	OTHER	IN	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000179535	OTHER		ANTHEM HEALTH PLAN

General Provider Information

NPI Number	:	1487747028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA L RIORDAN OTR

Provider Business Mailing Address
First Line	:	2328 HANCOCK BRIDGE PKWY STE 103
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-1455
Country	:	US
Telephone Number	:	239-574-7557
Fax Number	:	239-574-1315

Provider Business Practice Location Address
First Line	:	2328 HANCOCK BRIDGE PKWY STE 103
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33990-1455
Country	:	US
Telephone Number	:	239-574-7557
Fax Number	:	239-574-1315

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

Provider Enumeration Date	:	10/02/2006
Last Update Date	:	07/09/2025

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Directions to “ CHRISTINA L RIORDAN OTR” Practice Location

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