Individual
NICHOLAS CICERO IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
59295 RIVER WEST DRIVE, PLAQUEMINE, LA 70764
(225) 687-2066
(225) 687-2067
Mailing address
3797 BIGMAN LANE, TORBERT, LA 70762
(225) 939-3923
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07694
LA
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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