Individual
CHRISTY KELLY CICCARIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
4 SAMOSET WAY, MANSFIELD, MA 02048
(508) 208-8438
Mailing address
213 FLORENCE RD, WALTHAM, MA 02453-7600
(617) 827-6291
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9921
MA
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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