Provider Demographics
NPI:1174762538
Name:PIROZZOLI, TIMOTHY (DPT)
Entity type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:
Last Name:PIROZZOLI
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9460 N NAME UNO
Mailing Address - Street 2:SUITE 140
Mailing Address - City:GILROY
Mailing Address - State:CA
Mailing Address - Zip Code:95020-3537
Mailing Address - Country:US
Mailing Address - Phone:408-847-0107
Mailing Address - Fax:408-847-2112
Practice Address - Street 1:9460 N NAME UNO
Practice Address - Street 2:SUITE 140
Practice Address - City:GILROY
Practice Address - State:CA
Practice Address - Zip Code:95020-3537
Practice Address - Country:US
Practice Address - Phone:408-847-0107
Practice Address - Fax:408-847-2112
Is Sole Proprietor?:No
Enumeration Date:2009-02-09
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35406225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist