Ethelvida Ciccone, PT

NPI #1710199914 in Katonah, New York

Provider Information

NPI Number: 1710199914
Entity Type: Individual
Name: Ethelvida Ciccone, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: May 3, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 17 PRIMROSE ST
City: Katonah
State: New York
ZIP Code: 10536
Phone: (914) 301-5107

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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