Provider Demographics
NPI:1336904572
Name:CARIOSCIA, MARISA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:MARISA
Middle Name:
Last Name:CARIOSCIA
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8912 OXFORD ST
Mailing Address - Street 2:
Mailing Address - City:WOODRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60517-4967
Mailing Address - Country:US
Mailing Address - Phone:630-901-8288
Mailing Address - Fax:
Practice Address - Street 1:9018 HERITAGE PKWY STE 600
Practice Address - Street 2:
Practice Address - City:WOODRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60517-5139
Practice Address - Country:US
Practice Address - Phone:630-442-7662
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-16
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics