Individual
DR. CAITLIN ELIZABETH CICCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4010 N LAKE CREEK DR, UNIT C, WILSON, WY 83014-8301
(307) 203-2030
Mailing address
PO BOX 8857, JACKSON, WY 83002-8857
(603) 892-0708
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1957
WY
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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