| Doctor Name: | NANCY ANN CICIRELLO |
| NPI Number: | 1013169978 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 0364 |
| Business Practice Address: | 222 Se 8th Ave Hillsboro, OR - 971234218 |
| Business Phone Number: | 5033527253 |
| Business Fax Number: | 5033527340 |
| Mailing Address: | 222 Se 8th Ave, HILLSBORO |
| State: | OR |
| Postal Code: | 971234218 |
| Phone Number: | 5033527253 |
| Fax Number: | 5033527340 |
| NPI Enumeration Date: | 10/22/2008 |
| NPI Last Update Date: | 10/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 0364 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |