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Individual

RICHARD E. CICHOWICZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ORTL

Contact information

Practice address
4697 HARRISON ST, BELLAIRE, OH 43906-1338
(740) 671-1436
(740) 671-1210
Mailing address
4697 HARRISON ST, BELLAIRE, OH 43906-1338
(740) 671-1436
(740) 671-1210

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC005950L
PA
225X00000X
Occupational Therapist
Primary
OT005453
OH
225X00000X
Occupational Therapist
OT818
WV

Other

Enumeration date
01/05/2007
Last updated
07/08/2007
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