MEDICARE: MS. DEBORAH B. RICZO P.T.

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	2742	OH

General Provider Information

NPI Number	:	1245440387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DEBORAH B. RICZO P.T.

Provider Business Mailing Address
First Line	:	6751 BROADVIEW RD
Second Line	:
City	:	SEVEN HILLS
State	:	OH
Zip	:	44131-3801
Country	:	US
Telephone Number	:	216-402-1961
Fax Number	:	440-845-5186

Provider Business Practice Location Address
First Line	:	7325 SUMMITVIEW DR
Second Line	:
City	:	SEVEN HILLS
State	:	OH
Zip	:	44131-4437
Country	:	US
Telephone Number	:	216-524-6262
Fax Number	:

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

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	07/08/2007

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