Provider Demographics
NPI:1164733655
Name:PISICI, FATMA (PT)
Entity Type:Individual
Prefix:MRS
First Name:FATMA
Middle Name:
Last Name:PISICI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:FATMA
Other - Middle Name:PISICI
Other - Last Name:MAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:77 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2443
Mailing Address - Country:US
Mailing Address - Phone:828-505-2999
Mailing Address - Fax:
Practice Address - Street 1:77 CENTRAL AVE STE A
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801
Practice Address - Country:US
Practice Address - Phone:828-505-2999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-06-29
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11430225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC19TANOtherBLUE CROSS BLUE SHIELD OF NC