Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225700000X | Massage Therapist | CA |
NPI | 1013262278 |
---|---|
Provider Name | Ms. Rebecca Corinne Rizzuto |
First Address | San Francisco, CA 94131-2956 |
Second Address | San Francisco, CA 94131-2956 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2012 |
Last Update Date | 13/07/2012 |