DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JENNIFER RENEE DICICCO, DPT

Active

MRS. JENNIFER RENEE DICICCO, DPT is a Pediatric Occupational Therapy healthcare provider located in CHARLOTTE, North Carolina. NPI 1255584330 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapy · CHARLOTTE, NC

Registration Details

NPI Number
1255584330
Provider Type
Individual
Gender
Female
NPI Issued
Nov 3, 2008 (17.802520018262 yrs)
Last Updated
Nov 5, 2012
Licenses
2305205704 (VA)
P12753 (NC)

Practice Information

Address
4501 CAMERON VALLEY PKWY
SUITE 300
CHARLOTTE, NC, 282114297
Browse NC providers · Browse ZIP 28211
Phone
7033040620
Fax
7043040620
Primary Specialty
Pediatric Occupational Therapy
2251P0200X

Other Pediatric Occupational Therapy Providers in CHARLOTTE, NC

Name Credential NPI
MRS. JULIE WELLS KOENIG MPT 1003878406
KALINDI NAIK PHYSICAL THERAPIST 1528118478
MS. SUSAN P BESSEY PT, PCS 1033263637
MISS JULIE ANN GALLUS MPT 1750427910
ASHLEY FISHER 1275677296
MS. ASHIYA FAYE JACKSON DPT, PCS 1164551826
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.