MARY DICICCO

WILSONVILLE, OR
NPI1972975993
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  09213)
Enumeration Date2015-10-29
Last Update Date2015-10-29
Business Address
-- MARY DICICCO
25117 SW PARKWAY AVE
WILSONVILLE, OR 97070-9697
Phone number: 503-570-3665
Mailing Address
-- MARY DICICCO
1742 SE MARION ST
PORTLAND, OR 97202-7350
Phone number:
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