Stanley Ciceron

NPI #1366786287 in Davie, Florida

Provider Information

NPI Number: 1366786287
Entity Type: Individual
Name: Stanley Ciceron
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Nov 15, 2012
Last Updated: Nov 15, 2012

Practice Location

Address: 2113 DAVIE BLVD APT 244
City: Davie
State: Florida
ZIP Code: 33312-3126
Phone: (516) 864-3608

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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