Provider Demographics
NPI:1184807539
Name:RIGGIO, TAINE ANN (DPT)
Entity type:Individual
Prefix:DR
First Name:TAINE
Middle Name:ANN
Last Name:RIGGIO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5301 WILLOW LAKE CT
Mailing Address - Street 2:
Mailing Address - City:CLARENCE
Mailing Address - State:NY
Mailing Address - Zip Code:14031-1227
Mailing Address - Country:US
Mailing Address - Phone:716-741-3516
Mailing Address - Fax:716-741-4696
Practice Address - Street 1:5301 WILLOW LAKE CT
Practice Address - Street 2:
Practice Address - City:CLARENCE
Practice Address - State:NY
Practice Address - Zip Code:14031-1227
Practice Address - Country:US
Practice Address - Phone:716-741-3516
Practice Address - Fax:716-741-4696
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-07
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022873-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist