DEREK MARIO DECICCO

IRVINE, CA
NPI1427283894
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  33639)
Enumeration Date2009-05-28
Last Update Date2011-02-04
Business Address
-- DEREK MARIO DECICCO MPT
15775 LAGUNA CANYON RD STE 110
IRVINE, CA 92618-3192
Phone number: 714-858-4617
Mailing Address
-- DEREK MARIO DECICCO MPT
1154 MISSION DR
COSTA MESA, CA 92626-4209
Phone number: 714-382-0673
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