Provider Demographics
NPI:1104014612
Name:RIGIONE, ANNE LOUISE (PTA)
Entity Type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:LOUISE
Last Name:RIGIONE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 REED FARM RD
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02347-1719
Mailing Address - Country:US
Mailing Address - Phone:508-946-4629
Mailing Address - Fax:
Practice Address - Street 1:17 REED FARM RD
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MA
Practice Address - Zip Code:02347-1719
Practice Address - Country:US
Practice Address - Phone:508-946-4629
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2938225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant