Anne Ianniccheri

NPI #1184861429 in Port St Lucie, Florida

Provider Information

NPI Number: 1184861429
Entity Type: Individual
Name: Anne Ianniccheri
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Jan 8, 2009
Last Updated: Sep 1, 2010

Practice Location

Address: 1583 MAXIM AVE
City: Port St Lucie
State: Florida
ZIP Code: 34952
Phone: (772) 361-5061

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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