Mary Dicicco
NPI #1972975993 in Wilsonville, Oregon
Provider Information
- NPI Number
- 1972975993
- Entity Type
- Individual
- Name
- Mary Dicicco
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Oct 29, 2015
- Last Updated
- Oct 29, 2015
Practice Location
- Address
- 25117 SW PARKWAY AVE
- City
- Wilsonville
- State
- Oregon
- ZIP Code
- 97070-9697
- Phone
- (503) 570-3665
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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