Provider Demographics
NPI:1679232391
Name:ETRATA, MARIA RIZZA SANCHEZ (PT, DPT)
Entity Type:Individual
Prefix:
First Name:MARIA RIZZA
Middle Name:SANCHEZ
Last Name:ETRATA
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 BAY 26TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-4938
Mailing Address - Country:US
Mailing Address - Phone:347-702-9959
Mailing Address - Fax:
Practice Address - Street 1:153 BAY 26TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-4938
Practice Address - Country:US
Practice Address - Phone:347-702-9959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-09
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY040822225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist