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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS KATHLEEN SISON AZCONA, PT

Active Sole Proprietor

MISS KATHLEEN SISON AZCONA, PT is a Physical Therapy Assistant healthcare provider located in PORT SAINT LUCIE, Florida. NPI 1124289954 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · PORT SAINT LUCIE, FL

Registration Details

NPI Number
1124289954
Provider Type
Individual
Gender
Female
NPI Issued
Jun 24, 2008 (18.123864480861 yrs)
Last Updated
Aug 5, 2015
Licenses
070016179 (IL)
24432 (FL)
Sole Proprietor
Yes

Practice Information

Address
11197 SW SPRINGTREE TER
PORT SAINT LUCIE, FL, 349872733
Browse FL providers · Browse ZIP 34987
Phone
7032202476
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in PORT SAINT LUCIE, FL

Name Credential NPI
MR. HENRY ALLEN GOCKENBACH P.T., A.T.C 1881631653
MR. ROBERT A HENSLEY 1407892979
MRS. MARY B HENSLEY 1427086529
MR. KAHARI TAMON WOOD MSPT 1952333502
JOSEPH DUAH MS, PT 1295875813
THOMAS R FISCHER P.T. 1134269236
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.