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NPI Code Detail

MEDICARE: LIZZETTE RIAL

MEDICARE:   LIZZETTE  RIAL
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
1225X00000XOccupational TherapistOT24852FL

General Provider Information

NPI Number : 1982466710
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIZZETTE RIAL
Provider Business Mailing Address
First Line : 161 E 60TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33013-1061
Country : US
Telephone Number : 786-217-3223
Fax Number :
Provider Business Practice Location Address
First Line : 161 E 60TH ST
Second Line :
City : HIALEAH
State : FL
Zip : 33013-1061
Country : US
Telephone Number : 786-217-3223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2024
Last Update Date : 01/26/2024

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Directions to “ LIZZETTE RIAL ” Practice Location

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