MEDICARE: DR. KAREN A CASCARDI PTA, PHD

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	PTA15615	FL

General Provider Information

NPI Number	:	1821139825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN A CASCARDI PTA, PHD

Provider Business Mailing Address
First Line	:	106 PALOMINO DR
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33458-8009
Country	:	US
Telephone Number	:	561-523-1230
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 HERITAGE DR STE 110
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33458-3098
Country	:	US
Telephone Number	:	561-253-6737
Fax Number	:	561-253-8966

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

Provider Enumeration Date	:	02/11/2007
Last Update Date	:	01/20/2010

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