Provider Demographics
NPI:1013442607
Name:CASCIOLA, GIANA MARIE (MS, ATC, LAT)
Entity Type:Individual
Prefix:
First Name:GIANA
Middle Name:MARIE
Last Name:CASCIOLA
Suffix:
Gender:F
Credentials:MS, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:980 N LOIS AVE
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:IL
Mailing Address - Zip Code:60101-1238
Mailing Address - Country:US
Mailing Address - Phone:630-607-8680
Mailing Address - Fax:
Practice Address - Street 1:12295 SW 151ST ST APT E303
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5967
Practice Address - Country:US
Practice Address - Phone:630-607-8680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-21
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL48922255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer