Provider Demographics
NPI:1245440387
Name:RICZO, DEBORAH B (PT)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:B
Last Name:RICZO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6751 BROADVIEW RD
Mailing Address - Street 2:
Mailing Address - City:SEVEN HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44131-3801
Mailing Address - Country:US
Mailing Address - Phone:216-402-1961
Mailing Address - Fax:440-845-5186
Practice Address - Street 1:7325 SUMMITVIEW DR
Practice Address - Street 2:
Practice Address - City:SEVEN HILLS
Practice Address - State:OH
Practice Address - Zip Code:44131-4437
Practice Address - Country:US
Practice Address - Phone:216-524-6262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2742225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist