Provider Demographics
NPI:1407008592
Name:RIZZO, LORETTA M (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:LORETTA
Middle Name:M
Last Name:RIZZO
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:LORETTA
Other - Middle Name:M
Other - Last Name:GIULIANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:85 BRONX RIVER RD
Mailing Address - Street 2:APT. 2D
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-4464
Mailing Address - Country:US
Mailing Address - Phone:914-282-0699
Mailing Address - Fax:
Practice Address - Street 1:85 BRONX RIVER RD
Practice Address - Street 2:APT. 2D
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-4464
Practice Address - Country:US
Practice Address - Phone:914-282-0699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013113225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist