Provider Demographics
NPI:1104414077
Name:PEIZER, RACHAEL EVELYN (PT)
Entity type:Individual
Prefix:MRS
First Name:RACHAEL
Middle Name:EVELYN
Last Name:PEIZER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 SEA VIEW DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94801-4129
Mailing Address - Country:US
Mailing Address - Phone:510-919-0903
Mailing Address - Fax:
Practice Address - Street 1:501 SEA VIEW DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94801-4129
Practice Address - Country:US
Practice Address - Phone:510-919-0903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21472225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist