Individual
JOHN JOSEPH CICCARELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6564 LOISDALE CT STE 500, SPRINGFIELD, VA 22150-1823
(703) 822-0039
(703) 822-0211
Mailing address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-2270
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305213243
VA
225100000X
Physical Therapist
—
TX
2251X0800X
Orthopedic Physical Therapist
2305213243
VA
Other
Enumeration date
09/09/2014
Last updated
06/30/2025
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