Kelly Cicerello, PT

NPI #1619251253 in Plano, Texas

Provider Information

NPI Number: 1619251253
Entity Type: Individual
Name: Kelly Cicerello, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 30, 2011
Last Updated: Sep 30, 2011

Practice Location

Address: 2301 OHIO DR
Address 2: SUITE 133
City: Plano
State: Texas
ZIP Code: 75093-3927
Phone: (972) 398-7881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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