Provider Demographics
NPI:1629255757
Name:CARLIN RIZZIERI, PATRICIA ANN (MS OTRL)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ANN
Last Name:CARLIN RIZZIERI
Suffix:
Gender:F
Credentials:MS OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 MARKET STREET
Mailing Address - Street 2:CITIZENS CARE AND REHABILITATION CENTER
Mailing Address - City:MAVRE DE GRACE
Mailing Address - State:MD
Mailing Address - Zip Code:21078-3301
Mailing Address - Country:US
Mailing Address - Phone:410-939-5500
Mailing Address - Fax:
Practice Address - Street 1:415 MARKET STREET
Practice Address - Street 2:CITIZENS CARE AND REHABILITATION CENTER
Practice Address - City:MAVRE DE GRACE
Practice Address - State:MD
Practice Address - Zip Code:21078-3301
Practice Address - Country:US
Practice Address - Phone:410-939-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-31
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01125225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist