Individual
JODIE CICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1380 S CASTLE DOME AVE, YUMA, AZ 85365-2024
(928) 259-7758
Mailing address
10229 E 39TH WAY, YUMA, AZ 85365-5454
(412) 610-5519
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
010825
AZ
Other
Enumeration date
01/13/2014
Last updated
05/06/2023
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