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Individual

ERICCA SICHINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
37930 AIRPORT RD, WOODSFIELD, OH 43793-9247
(740) 472-1678
Mailing address
455 HUSTON HILLS DR, CAMBRIDGE, OH 43725-2970
(740) 995-3162

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
05377
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
356837731548
MEDICAL MUTUAL
OH
Enumeration date
12/16/2013
Last updated
12/16/2013
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