Individual
ROBERT WILLIAM DICECCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
4949 OLGLETOWN STANTON RD., NEWARK, DE 19713
(302) 998-6900
Mailing address
203 BRITAIN CT, NEWARK, DE 19702-6320
(302) 737-8205
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
J2-0000404
DE
225200000X
Physical Therapy Assistant
TE007091
PA
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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