Individual
HALLIE CHRISTINE CICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
993 BRODHEAD RD STE 10, MOON TOWNSHIP, PA 15108-2306
(724) 888-2548
Mailing address
993 BRODHEAD RD STE 10, MOON TOWNSHIP, PA 15108-2306
(724) 888-2548
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC020862
PA
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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