Provider Demographics
NPI:1265690747
Name:PIZZO, DEANNE F (PT)
Entity type:Individual
Prefix:MRS
First Name:DEANNE
Middle Name:F
Last Name:PIZZO
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 1:35 MAPLE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH CHINA
Mailing Address - State:ME
Mailing Address - Zip Code:04358-4236
Mailing Address - Country:US
Mailing Address - Phone:207-923-4033
Mailing Address - Fax:
Practice Address - Street 1:35 MAPLE RIDGE RD
Practice Address - Street 2:
Practice Address - City:SOUTH CHINA
Practice Address - State:ME
Practice Address - Zip Code:04358-4236
Practice Address - Country:US
Practice Address - Phone:207-923-4033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-30
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT655225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist