Provider Demographics
NPI:1780992875
Name:SAGGESE, KAREN RENEE (PTA LICENSE)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:RENEE
Last Name:SAGGESE
Suffix:
Gender:F
Credentials:PTA LICENSE
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Mailing Address - Street 1:12170 COLDWATER CT
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-4707
Mailing Address - Country:US
Mailing Address - Phone:858-675-9844
Mailing Address - Fax:
Practice Address - Street 1:12170 COLDWATER CT
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-4707
Practice Address - Country:US
Practice Address - Phone:858-673-5437
Practice Address - Fax:858-673-5434
Is Sole Proprietor?:No
Enumeration Date:2010-09-22
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant