Kristen Dicicco, OT, DOT

NPI #1043945074 in Goodyear, Arizona

Provider Information

NPI Number: 1043945074
Entity Type: Individual
Name: Kristen Dicicco, OT, DOT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT, DOT
Enumeration Date: Jul 22, 2022
Last Updated: Jul 22, 2022

Practice Location

Address: 790 N ESTRELLA PKWY STE C
City: Goodyear
State: Arizona
ZIP Code: 85338-9290
Phone: (602) 765-4348

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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