Individual
EMILY CICCARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
38 SHERIDAN PARK CIR, SUITE C, BLUFFTON, SC 29910-7022
(843) 815-5628
(843) 815-5637
Mailing address
118 GLENWATER DR, APT 304, RIDGELAND, SC 29936-3149
(716) 725-5689
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7256
SC
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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