Individual
EMILY DAWN CULICERTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1631 RITTER DR, DANIELS, WV 25832-9264
(305) 130-4763
Mailing address
133 HUNTERS XING, SHADY SPRING, WV 25918-8331
(304) 860-8794
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002699
WV
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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