Doctor Name: | DAWNA G RIGGENBACH |
NPI Number: | 1467840132 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 2065 |
Business Practice Address: | 11706 S Willow Pl Jenks, OK - 740374359 |
Business Phone Number: | 9186299790 |
Business Fax Number: | |
Mailing Address: | 11706 S Willow Pl, JENKS |
State: | OK |
Postal Code: | 740374359 |
Phone Number: | 9186299790 |
Fax Number: | |
NPI Enumeration Date: | 01/05/2015 |
NPI Last Update Date: | 01/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251N0400X |
License Number: | 2065 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Neurology |
Taxonomy Definition: |