Provider Demographics
NPI:1386766103
Name:RIZZO, NATALIE CORYN (OTR)
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:CORYN
Last Name:RIZZO
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:CORYN
Other - Last Name:GARLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4870 N. LITCHFIELD RD
Mailing Address - Street 2:SUITE B #101
Mailing Address - City:LITCHFIELD PARK
Mailing Address - State:AZ
Mailing Address - Zip Code:85340
Mailing Address - Country:US
Mailing Address - Phone:623-935-6040
Mailing Address - Fax:480-553-9334
Practice Address - Street 1:11143 W MADELINE CHRISTIAN AVE
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-6910
Practice Address - Country:US
Practice Address - Phone:623-815-3623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3739225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist