Individual
HOLLY DICICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
109 BLOSSOM LN, SALEM, OH 44460-4284
(330) 337-3033
Mailing address
2002 COLONY DR, ALIQUIPPA, PA 15001-9560
(412) 965-6131
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
OC006060L
PA
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT 4676
OH
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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