Individual
DR. RIKKI LYNN SHIELDS HANNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CLT
Contact information
Practice address
920 BELMONT AVE, NORTH HALEDON, NJ 07508-2674
(973) 830-9672
Mailing address
920 BELMONT AVE, NORTH HALEDON, NJ 07508-2674
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
40QA02129000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA02129000
LICENSE NUMBER
NJ
Enumeration date
09/26/2022
Last updated
02/05/2025
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