Provider Demographics
NPI:1629376967
Name:PIZZEY, SARAH NICOLE (MPT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:NICOLE
Last Name:PIZZEY
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4629 PIXIE AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90712-3619
Mailing Address - Country:US
Mailing Address - Phone:831-428-3766
Mailing Address - Fax:
Practice Address - Street 1:20911 EARL ST STE 300
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503
Practice Address - Country:US
Practice Address - Phone:310-370-1200
Practice Address - Fax:310-370-1233
Is Sole Proprietor?:No
Enumeration Date:2011-03-10
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37627225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist