Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 2638 | AL |
NPI | 1285925412 |
---|---|
Provider Name | Ms. Vanessa Lynn Piggott |
First Address | Madison, AL 35758-8540 |
Second Address | Madison, AL 35758-8540 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2011 |
Last Update Date | 21/04/2011 |