Individual
CAROL RICCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., P.T.
Contact information
Practice address
8 KILOLANI LANE #302, KIHEI, HI 96753-5116
(808) 264-0275
Mailing address
8 KILOLANI LANE #302, KIHEI, HI 96753-5116
(808) 264-0275
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 1730
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022260-4
HMSA PROVIDER NUMBER
HI
Enumeration date
10/04/2006
Last updated
04/14/2016
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