MEDICARE: MRS. RIZZA M ARANEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PTL0007185	CO

General Provider Information

NPI Number	:	1780929794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RIZZA M ARANEZ

Provider Business Mailing Address
First Line	:	3263 SILVER PINE TRL
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-1495
Country	:	US
Telephone Number	:	719-964-7028
Fax Number	:

Provider Business Practice Location Address
First Line	:	3263 SILVER PINE TRL
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80920-1495
Country	:	US
Telephone Number	:	719-964-7028
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2012
Last Update Date	:	12/02/2012

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