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Individual

KIMBERLY RAE CICERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
20800 WESTGATE MALL STE 500, CLEVELAND, OH 44126-1362
(440) 333-1880
(440) 333-1834
Mailing address
20800 WESTGATE MALL STE 500, CLEVELAND, OH 44126-1362
(440) 333-1880
(440) 333-1834

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT008706
OH

Other

Enumeration date
07/06/2017
Last updated
07/21/2022
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