Basic Information
Provider Information
NPI: 1184975906
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARNOZA
FirstName: RIZA
MiddleName: SABADO
NamePrefix:  
NameSuffix:  
Credential: P.T.
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Mailing Information
Address1: 1903 RAVEN MANOR DR.
Address2:  
City: DOVER
State: FL
PostalCode: 335274941
CountryCode: US
TelephoneNumber: 8137644090
FaxNumber: 8137046634
Practice Location
Address1: 1465 OAKFIELD DRIVE
Address2: REHABILITATION THERAPY DEPT.
City: BRANDON
State: FL
PostalCode: 335114854
CountryCode: US
TelephoneNumber: 8136550404
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/20/2012
LastUpdateDate: 09/20/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000XPT26276FLY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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