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NPI Code Detail

MEDICARE: DR. ISABELLE JOY PANZA PT, DPT

MEDICARE: DR. ISABELLE JOY PANZA PT, DPT
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
1225100000XPhysical TherapistPT020863OH

General Provider Information

NPI Number : 1477319705
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ISABELLE JOY PANZA PT, DPT
Provider Business Mailing Address
First Line : 5711 MORNINGSIDE DR
Second Line :
City : PARMA
State : OH
Zip : 44129-3831
Country : US
Telephone Number : 440-829-4102
Fax Number :
Provider Business Practice Location Address
First Line : 11100 EUCLID AVE STE 4100
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1716
Country : US
Telephone Number : 216-844-7868
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2024
Last Update Date : 02/23/2024

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