Individual
JULIANNE DECICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
144 TODD HILL RD, LAGRANGEVILLE, NY 12540-5916
(845) 486-4460
Mailing address
989 E PROSPECT ST, WOODMERE, NY 11598-1446
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
08/15/2017
Last updated
11/15/2019
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