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Individual

CELIA BOUTON RIGGINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
5699 W 20TH ST, GREELEY, CO 80634-3165
(970) 451-1234
Mailing address
2730 KINGSBURGH CT, MARIETTA, GA 30066-4798
(678) 910-2239

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013447
GA
2251P0200X
Pediatric Physical Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003207253A
CO
Enumeration date
07/02/2018
Last updated
10/03/2024
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