Individual
BRIAN CIACCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
104 MALLORY DR, GOOSE CREEK, SC 29445-6406
(843) 996-1471
(843) 808-6986
Mailing address
PO BOX 1119, GOOSE CREEK, SC 29445-1119
(843) 996-1471
(843) 808-6986
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
029781-1
NY
225100000X
Physical Therapist
Primary
7731
SC
Other
Enumeration date
02/16/2012
Last updated
04/08/2026
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