SUZANNE CICCOMANCINI

PORTLAND, ME
NPI1902265218
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: ME  OT562)
Enumeration Date2016-02-15
Last Update Date2016-02-15
Business Address
-- SUZANNE CICCOMANCINI
80 FALL BROOK ST
PORTLAND, ME 04103-4225
Phone number: 207-807-3763
Mailing Address
-- SUZANNE CICCOMANCINI
80 FALL BROOK ST
PORTLAND, ME 04103-4225
Phone number: