Healthcare Provider Details

I. General information

NPI: 1205750098
Provider Name (Legal Business Name): CLOTHILDE ELIZABETH SCIOSCIA PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6264 FERRIS SQ
SAN DIEGO CA
92121-3204
US

IV. Provider business mailing address

416 HEIGHTS DR
GIBSONIA PA
15044-6031
US

V. Phone/Fax

Practice location:
  • Phone: 619-940-4128
  • Fax:
Mailing address:
  • Phone: 412-996-1595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: