Individual ProviderLydia M FazioPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address15 N Symington Ave, Catonsville, MD 21228-2006(410) 456-2923(410) 583-1515PECOS EnrollmentBased on the most recent information from CMS, provider Lydia M Fazio does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1982780417Provider TypeIndividualFull NameFazio, Lydia MTitleMrs.CredentialP.T.GenderFemaleSole ProprietorNoEnumeration Date10/27/2006Last Updated11/16/2014Contact InformationPractice LocationPractice Address15 N Symington Ave, Catonsville, MD 21228-2006Phone(410) 456-2923FaxUnlisted FaxMailing LocationMailing Address13121 Mount Olivet Rd, Felton, PA 17322-8505Phone(410) 583-1515Fax(419) 583-2491Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense16450Maryland