Provider Demographics
NPI:1548631625
Name:RIEGER, ANASTACIA (OTR/L)
Entity type:Individual
Prefix:MS
First Name:ANASTACIA
Middle Name:
Last Name:RIEGER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:417 MORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-2640
Mailing Address - Country:US
Mailing Address - Phone:401-575-2217
Mailing Address - Fax:
Practice Address - Street 1:417 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-2640
Practice Address - Country:US
Practice Address - Phone:401-575-7221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-14
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist