Individual
MIA PICCIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1729 N DYSART RD, AVONDALE, AZ 85392-1224
(623) 295-3630
(623) 469-7385
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
(866) 370-8206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305216693
VA
225100000X
Physical Therapist
Primary
PTL28157
MA
225100000X
Physical Therapist
—
—
Other
Enumeration date
08/06/2024
Last updated
07/16/2025
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