Provider Demographics
NPI:1689302788
Name:RIZK, BREHAN (DPT)
Entity Type:Individual
Prefix:DR
First Name:BREHAN
Middle Name:
Last Name:RIZK
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 PIMA PT
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-6372
Mailing Address - Country:US
Mailing Address - Phone:407-760-1719
Mailing Address - Fax:
Practice Address - Street 1:1255 PIMA PT
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-6372
Practice Address - Country:US
Practice Address - Phone:407-760-1719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist