MISS Kathleen Sison Azcona, PT

NPI #1124289954 in Port Saint Lucie, Florida

Provider Information

NPI Number: 1124289954
Entity Type: Individual
Name: MISS Kathleen Sison Azcona, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jun 24, 2008
Last Updated: Aug 5, 2015

Practice Location

Address: 11197 SW SPRINGTREE TER
City: Port Saint Lucie
State: Florida
ZIP Code: 34987-2733
Phone: (703) 220-2476

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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