Nicholas Bacciocco

NPI #1104235720 in Twin Falls, Idaho

Provider Information

NPI Number
1104235720
Entity Type
Individual
Name
Nicholas Bacciocco
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
Aug 7, 2014
Last Updated
Aug 7, 2014

Practice Location

Address
1850 BITTERROOT DR
State
Idaho
ZIP Code
83301-3513
Phone
(801) 674-5752

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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