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Contact Information

LAUREN E PERISA CICCHILLO, PT, DPT
1553 NILES CORTLAND RD SE STE 1
WARREN, OH44484-3073
 Phone: 330-372-2324
 Fax: 330-372-2309
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Hand

2251H1200X 65 Physical Therapist in Private Practice
 

Neurology

2251N0400X 65 Physical Therapist in Private Practice
 

Orthopedic

2251X0800X 65 Physical Therapist in Private Practice
 

Sports

2251S0007X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LAUREN E PERISA CICCHILLO · (Female)

NPI Number 1760891428
Status Active
Credentials PT, DPT
Entity Individual
Enumeration date 08/07/2014
Last updated 12/08/2015 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # PT014947
  • OH Medicaid 0109240
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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