Provider Demographics
NPI:1922589167
Name:RIGAU, BRIANA (OTR)
Entity Type:Individual
Prefix:
First Name:BRIANA
Middle Name:
Last Name:RIGAU
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13095 W CEDAR DR APT 107
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-1960
Mailing Address - Country:US
Mailing Address - Phone:303-941-9855
Mailing Address - Fax:
Practice Address - Street 1:13095 W CEDAR DR APT 107
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1960
Practice Address - Country:US
Practice Address - Phone:303-917-6747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-26
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.012670225X00000X
COOT.0005906225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
407753OtherNATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY