Provider Demographics
NPI:1780361097
Name:TERRIZZI, GEORGI ANNE (OTR/L)
Entity type:Individual
Prefix:
First Name:GEORGI
Middle Name:ANNE
Last Name:TERRIZZI
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:GEORGI
Other - Middle Name:ANNE
Other - Last Name:KAUFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3090 STONEBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-3017
Mailing Address - Country:US
Mailing Address - Phone:814-280-1878
Mailing Address - Fax:
Practice Address - Street 1:1930 CLIFFSIDE DR
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-7662
Practice Address - Country:US
Practice Address - Phone:814-280-1878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC007312L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist