Provider Demographics
NPI:1366643561
Name:PIZZOLATO, JOHN SALVATORE (OTR)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:SALVATORE
Last Name:PIZZOLATO
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:387 QUARRY ST
Mailing Address - Street 2:STE 102
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02723-1026
Mailing Address - Country:US
Mailing Address - Phone:401-946-7996
Mailing Address - Fax:
Practice Address - Street 1:46 LEAWOOD DR
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-1312
Practice Address - Country:US
Practice Address - Phone:401-946-7996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5310225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist