Provider Demographics
NPI:1053965723
Name:RIZVI, ASIF MUSTAFA (OTR/L)
Entity type:Individual
Prefix:MR
First Name:ASIF
Middle Name:MUSTAFA
Last Name:RIZVI
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 DARRAH LN
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-3110
Mailing Address - Country:US
Mailing Address - Phone:609-865-4586
Mailing Address - Fax:
Practice Address - Street 1:124 DARRAH LN
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-3110
Practice Address - Country:US
Practice Address - Phone:609-865-4586
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-30
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist