Individual
BENJAMIN CICCARONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2738 W COLLEGE AVE STE A175, STATE COLLEGE, PA 16801-2646
(814) 321-1921
Mailing address
2738 W COLLEGE AVE STE A175, STATE COLLEGE, PA 16801-2646
(814) 321-1921
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG015213
PA
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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