Individual
NATHAN CICCARIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
501 VES RD, LYNCHBURG, VA 24503-4638
(434) 386-3500
Mailing address
501 VES RD, LYNCHBURG, VA 24503-4638
(434) 386-3500
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602369
VA
Other
Enumeration date
04/29/2015
Last updated
12/30/2022
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