Most Relevant Information
Provider Data
| NPI Number: | 1003013541 |
| Provider Name: | PATRICIA MARY VIZZARD P.T. |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 40QAO742200 |
Most Important Dates
| Enumeration Date: | 06/28/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
551 W LANCASTER AVE
HAVERFORD
PA
190411419
Practice Location Phone/Fax
| Phone: | 6105254000 |
| Fax: |
Provider Mailing Location
19 E COULTER AVE
COLLINGSWOOD
NJ
081081204
Provider Mailing Phone/Fax
| Phone: | 8568695868 |
| Fax: |