Provider Demographics
NPI:1386777670
Name:LOSCALZO, ANDREW N (PT, DPT, ATC)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:N
Last Name:LOSCALZO
Suffix:
Gender:M
Credentials:PT, DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:935 RIVERSIDE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34688-8801
Mailing Address - Country:US
Mailing Address - Phone:727-789-6008
Mailing Address - Fax:727-789-0716
Practice Address - Street 1:30522 US HIGHWAY 19 N
Practice Address - Street 2:SUITE 110
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-4444
Practice Address - Country:US
Practice Address - Phone:727-789-6008
Practice Address - Fax:727-789-0716
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT4811225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist