Individual
MS. ALYSSA LYN DECICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 GRACEDALE AVE, NAZARETH, PA 18064-8785
(610) 746-1908
(610) 746-1992
Mailing address
2 GRACEDALE AVE, NAZARETH, PA 18064-8785
(610) 746-1908
(610) 746-1992
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
TOC102656
PA
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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