Provider Demographics
NPI:1962983924
Name:RIGGS, BRISHA ANN (COTA/L)
Entity type:Individual
Prefix:MRS
First Name:BRISHA
Middle Name:ANN
Last Name:RIGGS
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:BRISHA
Other - Middle Name:ANN
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA/L
Mailing Address - Street 1:S77W12929 MCSHANE DR
Mailing Address - Street 2:
Mailing Address - City:MUSKEGO
Mailing Address - State:WI
Mailing Address - Zip Code:53150-4052
Mailing Address - Country:US
Mailing Address - Phone:414-525-6517
Mailing Address - Fax:
Practice Address - Street 1:S77W12929 MCSHANE DR
Practice Address - Street 2:
Practice Address - City:MUSKEGO
Practice Address - State:WI
Practice Address - Zip Code:53150-4052
Practice Address - Country:US
Practice Address - Phone:414-525-6517
Practice Address - Fax:414-427-4828
Is Sole Proprietor?:No
Enumeration Date:2018-08-27
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5056-27225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist