Provider Demographics
NPI:1457444663
Name:CSIZA, LINDA (PT, DSC, NCS)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:
Last Name:CSIZA
Suffix:
Gender:F
Credentials:PT, DSC, NCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5224 DOVE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-4567
Mailing Address - Country:US
Mailing Address - Phone:817-431-4029
Mailing Address - Fax:
Practice Address - Street 1:2008 L DON DODSON DR
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-5788
Practice Address - Country:US
Practice Address - Phone:817-288-0121
Practice Address - Fax:817-288-0124
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5099225100000X
TX11224062251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Not Answered2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
COST07/18/05Medicaid
COST07/18/05Medicaid
S88070Medicare UPIN