Female

Karen A. Ticcioni LPTA

Physical Therapy Assistant in Mequon, WI(View on Map)

Full Name

Karen Ann Ticcioni LPTA

NPI Number

1225072887

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/15/2006

Specialties

(Taxonomies)

Code

225200000X

Primary Taxonomy

Yes

Licenses

State

Wisconsin

License Number

944-019

Contact
Information

Purpose

Mailing
Location

Address

11811 W BONNIWELL RD
13111 N PORT WASHINGTON RD

City

Mequon
Mequon

State

WI
WI

Postal Code

53097-1801
53097-2416

Country

US
US

Telephone Number

(262) 242-5817
(262) 243-7444

Identifiers

Identifier

40138600

Identifier State

WI

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/09/2007

Provider Address

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