MEDICARE: MISS KAREN A PITISCI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	1834	FL

General Provider Information

NPI Number	:	1225334105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS KAREN A PITISCI

Provider Business Mailing Address
First Line	:	1212 E HENRY AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33604-6862
Country	:	US
Telephone Number	:	813-431-3751
Fax Number	:

Provider Business Practice Location Address
First Line	:	1212 E HENRY AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33604-6862
Country	:	US
Telephone Number	:	813-431-3751
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2011
Last Update Date	:	02/09/2011

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Directions to “ MISS KAREN A PITISCI ” Practice Location

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