Provider Demographics
NPI:1619247384
Name:SARABIA, MARIA RIZZA (PT)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:RIZZA
Last Name:SARABIA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:MA.
Other - Middle Name:RIZZA
Other - Last Name:SARABIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:3001 PALM COAST PKWY SE
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32137-8209
Mailing Address - Country:US
Mailing Address - Phone:386-446-6060
Mailing Address - Fax:
Practice Address - Street 1:3001 PALM COAST PKWY SE
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137-8209
Practice Address - Country:US
Practice Address - Phone:386-446-6060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-11
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 8633225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist