Individual
NOAH MICCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 ST ROCCO WAY, WILMINGTON, DE 19802
(302) 353-5646
(302) 202-4027
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
DE
Other
Enumeration date
01/03/2024
Last updated
02/27/2024
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