Individual
DIANA MARIE RIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 LEONARD LN, CENTEREACH, NY 11720-2725
(631) 873-9365
Mailing address
15 LEONARD LN, CENTEREACH, NY 11720-2725
(631) 873-9365
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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