Most Relevant Information
Provider Data
| NPI Number: | 1003440041 |
| Provider Name: | ANGELA MARIE CICCHINO DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT35544 |
Most Important Dates
| Enumeration Date: | 02/28/2020 |
| Last Updated: | 02/28/2020 |
Provider Practice Location
1 UNIVERSITY BLVD
ST AUGUSTINE
FL
320865799
Practice Location Phone/Fax
| Phone: | 9048293411 |
| Fax: | 9048293412 |
Provider Mailing Location
1 UNIVERSITY BLVD
ST AUGUSTINE
FL
320865799
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |