Provider Demographics
NPI:1093737314
Name:SIZEMORE, MAUREEN PARNIN (ATC, PTA, EMT-B)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:PARNIN
Last Name:SIZEMORE
Suffix:
Gender:F
Credentials:ATC, PTA, EMT-B
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4494 LILAC RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44121-3903
Mailing Address - Country:US
Mailing Address - Phone:216-291-4934
Mailing Address - Fax:
Practice Address - Street 1:1911 W 30TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-3495
Practice Address - Country:US
Practice Address - Phone:216-651-0222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT005372255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer