Individual
MS. PAIGE ELIZABETH CICCHINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRA
Contact information
Practice address
5570 WHITTAKER RD, YPSILANTI, MI 48197-9752
(586) 504-0261
Mailing address
5570 WHITTAKER RD, YPSILANTI, MI 48197-9752
(586) 504-0261
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
67834
MI
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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