Individual
JILL CICERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 HOWARD AVE, ALTOONA, PA 16601-4804
(814) 889-4463
Mailing address
951 WASHINGTON AVE, TYRONE, PA 16686-1426
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC13938
PA
Other
Enumeration date
08/09/2017
Last updated
03/30/2021
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