NPI 1558096495
Miranda J Riesgo, OTDOTRL
Practice location
- Address
- 1000 E Narramore Ave, Buckeye, AZ 85326-2632
- Phone
- (520) 429-1953
- Mailing address
- 3808 N 30th St, Phoenix, AZ 85016-6902
Registered specialties
Occupational Therapist
Primary
Registry record
- NPI
- 1558096495
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 Jul 2022
- Record last updated
- 22 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.