ALBERT HENRY CICCEL

NORTH LITTLE ROCK, AR
NPI1154573863
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy222Z00000X Orthotist
(Licence: AR  OPP00030)
Additional Taxonomies225000000X Orthotic Fitter
(Licence:   C17466)
Enumeration Date2008-10-14
Last Update Date2008-10-14
Business Address
Mr. ALBERT HENRY CICCEL LO,C-PED,BOCOF
2200 FORT ROOTS DR BLDG 89
NORTH LITTLE ROCK, AR 72114-1709
Phone number: 501-257-1610
Mailing Address
Mr. ALBERT HENRY CICCEL LO,C-PED,BOCOF
7603 JACKSONVILLE CUTOFF RD APT B
JACKSONVILLE, AR 72076-3956
Phone number: 501-257-1610