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)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