Individual
MS. STEPHANIE LEE CICCARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
9347 INDIAN TRACE RD, ALEXANDRIA, KY 41001-7896
(859) 803-0417
Mailing address
9347 INDIAN TRACE RD, ALEXANDRIA, KY 41001-7896
(859) 803-0417
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.011763
OH
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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