Individual
KAYLA ANN CICERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 KNICKERBOCKER RD STE 3600, CRESSKILL, NJ 07626-1349
(201) 429-5815
Mailing address
300 KNICKERBOCKER RD STE 3600, CRESSKILL, NJ 07626-1349
(201) 429-5815
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01108200
NJ
225XP0200X
Pediatric Occupational Therapist
46TR01108200
NJ
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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