Provider Demographics
NPI:1760694004
Name:RIZZO, SABINE GAUGER
Entity Type:Individual
Prefix:MRS
First Name:SABINE
Middle Name:GAUGER
Last Name:RIZZO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8292 GRAYSON GRV
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-8447
Mailing Address - Country:US
Mailing Address - Phone:334-396-2297
Mailing Address - Fax:334-396-2297
Practice Address - Street 1:8292 GRAYSON GRV
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-8447
Practice Address - Country:US
Practice Address - Phone:334-396-2297
Practice Address - Fax:334-396-2297
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH3095225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist