Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 46TR00721400 | NJ |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 117261 | TX |
NPI | 1346615291 |
---|---|
Provider Name | Paula Rizzo |
First Address | Manalapan, NJ 07726-3570 |
Second Address | Manalapan, NJ 07726-3570 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/12/2015 |
Last Update Date | 05/09/2019 |