Provider Demographics
NPI:1144412552
Name:ZIZZI, MARY J (PTA)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:J
Last Name:ZIZZI
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:11800 W 49TH AVE
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-2176
Mailing Address - Country:US
Mailing Address - Phone:303-463-1382
Mailing Address - Fax:303-423-1609
Practice Address - Street 1:11800 W 49TH AVE
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-2176
Practice Address - Country:US
Practice Address - Phone:303-463-1382
Practice Address - Fax:303-423-1609
Is Sole Proprietor?:No
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant