Individual
VICKIE CRACCHIOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
271 FREDRICKSBURG RD, GARDNERVILLE, NV 89460-6572
(775) 265-2074
Mailing address
271 FREDRICKSBURG RD, GARDNERVILLE, NV 89460-6572
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT10672
CA
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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