Individual
DR. JASON A CICCOTELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2832 SOUTH MARYLAND PKWY, LAS VEGAS, NV 89109
(702) 406-6108
Mailing address
1453 BRITTANY SHORES DRIVE, LAS VEGAS, NV 89123
(702) 406-6108
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2440
NV
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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