MR. Albert Henry Ciccel JR., LO,C-PED,BOCOF
NPI #1154573863 in North Little Rock, Arkansas
Provider Information
- NPI Number
- 1154573863
- Entity Type
- Individual
- Name
- MR. Albert Henry Ciccel JR., LO,C-PED,BOCOF
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Orthotist
- Credential
- LO,C-PED,BOCOF
- Enumeration Date
- Oct 14, 2008
- Last Updated
- Oct 14, 2008
Practice Location
- Address
- 2200 FORT ROOTS DR BLDG 89
- State
- Arkansas
- ZIP Code
- 72114-1709
- Phone
- (501) 257-1610
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthotist |
| Orthotic Fitter |
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