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Individual

KAREN KAY SISCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
11315 MCCORMICK RD, ARLINGTON, TN 38002-9512
(901) 292-5313
(901) 867-3340
Mailing address
11315 MCCORMICK RD, ARLINGTON, TN 38002-9512
(901) 292-5313
(901) 867-3340

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
PT0000004903
TN
2251P0200X
Pediatric Physical Therapist
Primary
PT4292
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08602897
MS
Enumeration date
12/15/2007
Last updated
07/01/2008
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