David Iannicca, ATC

NPI #1245455666 in Surprise, Arizona

Provider Information

NPI Number
1245455666
Entity Type
Individual
Name
David Iannicca, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physical Medicine & Rehabilitation - Sports Medicine
Credential
ATC
Enumeration Date
Apr 13, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
15946 N BULLARD AVE
State
Arizona
ZIP Code
85374-8844
Phone
(816) 277-2954

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation - Sports MedicineSports Medicine

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