Provider Demographics
NPI:1689956914
Name:RUZZO, CHRISTINE E (CRT,RPSGT)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:E
Last Name:RUZZO
Suffix:
Gender:F
Credentials:CRT,RPSGT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 COMMONWEALTH AVE STE B
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2778
Mailing Address - Country:US
Mailing Address - Phone:401-821-1896
Mailing Address - Fax:
Practice Address - Street 1:315 COMMONWEALTH AVE STE B
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-2778
Practice Address - Country:US
Practice Address - Phone:401-821-1896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-13
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI199227800000X, 2278H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified
No2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome Health