Individual
MICHAEL J PISCITELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
328 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017-3488
(513) 347-9999
(859) 344-4153
Mailing address
328 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017-3488
(513) 347-9999
(859) 344-4153
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT-011470
KY
225100000X
Physical Therapist
Primary
PT-011470
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10759935
CAQH
OH
Enumeration date
06/05/2006
Last updated
01/20/2014
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