Provider Demographics
NPI:1801374988
Name:RIGNEL, STEPHANIE DIANNE
Entity Type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:DIANNE
Last Name:RIGNEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LIBERTY POST 331 ALBERTA DR.
Mailing Address - Street 2:SUITE 110
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226
Mailing Address - Country:US
Mailing Address - Phone:716-204-5925
Mailing Address - Fax:716-204-5926
Practice Address - Street 1:331 ALBERTA DRIVE
Practice Address - Street 2:SUITE 110
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226
Practice Address - Country:US
Practice Address - Phone:716-204-5925
Practice Address - Fax:716-204-5926
Is Sole Proprietor?:No
Enumeration Date:2018-08-01
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009306225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist