| Doctor Name: | MRS. LYDIA M FAZIO |
| NPI Number: | 1982780417 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 16450 |
| Business Practice Address: | 15 N Symington Ave Catonsville, MD - 212282006 |
| Business Phone Number: | 4104562923 |
| Business Fax Number: | |
| Mailing Address: | 13121 Mount Olivet Rd, FELTON |
| State: | PA |
| Postal Code: | 173228505 |
| Phone Number: | 4105831515 |
| Fax Number: | 4195832491 |
| NPI Enumeration Date: | 10/27/2006 |
| NPI Last Update Date: | 11/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 16450 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |