Individual
LINSEY CICCOCIOPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
184 PARADISE LN, NEW BLOOMFIELD, PA 17068-8002
(717) 834-7059
Mailing address
184 PARADISE LN, NEW BLOOMFIELD, PA 17068-8002
(717) 835-7059
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005459
PA
225700000X
Massage Therapist
MSG007522
PA
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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