Dicicco, Jennifer Renee

Dicicco, Jennifer Renee is an individual health care provider with primary practice located at 4501 Cameron Valley Pkwy Suite 300, Charlotte NC 28211-4297. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Dicicco, Jennifer Renee can be contacted via phone (703) 304-0620.

Contact Information

Primary practice address
4501 Cameron Valley Pkwy Suite 300 Charlotte NC 28211-4297
Phone: (703) 304-0620
Fax: (704) 304-0620
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305205704 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X P12753 North Carolina

Profile Details

NPI number 1255584330
LBN Legal business name Dicicco, Jennifer Renee
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2008
Last updated Nov 5th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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