Individual
ELISE VICTORIA COLACICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8840 HIKERS TRL, CHARDON, OH 44024-8877
(440) 226-0240
Mailing address
8840 HIKERS TRL, CHARDON, OH 44024-8877
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017274
OH
Other
Enumeration date
02/19/2018
Last updated
02/20/2018
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