Mazzatto, Lisa

Mazzatto, Lisa is an individual health care provider with primary practice located at 220 N Sykes Creek Pkwy Ste 300 , Merritt Island FL 32953-3490. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Mazzatto, Lisa can be contacted via phone (321) 459-0303.

Contact Information

Primary practice address
220 N Sykes Creek Pkwy Ste 300 Merritt Island FL 32953-3490
Phone: (321) 459-0303
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X

Profile Details

NPI number 1710097308
LBN Legal business name Mazzatto, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710097308 NPPES
Florida Other PTA 18541 LICENSE #

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