Provider Demographics
NPI:1336358308
Name:CLOOS, RIZALYN SILVINO (PT, DPT)
Entity type:Individual
Prefix:MS
First Name:RIZALYN
Middle Name:SILVINO
Last Name:CLOOS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8142 MEADOWDALE LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28227-5980
Mailing Address - Country:US
Mailing Address - Phone:828-606-2236
Mailing Address - Fax:
Practice Address - Street 1:2634 BRANDERMILL BLVD
Practice Address - Street 2:
Practice Address - City:GAMBRILLS
Practice Address - State:MD
Practice Address - Zip Code:21054-1651
Practice Address - Country:US
Practice Address - Phone:410-721-7201
Practice Address - Fax:410-721-7580
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VACP002759T225100000X
NHCP000944T225100000X
NC4150225100000X
MDCP007526T225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist