Doctor Name: | MR. MICHAEL CHRISTIAN CICERO |
NPI Number: | 1356342299 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 23908 |
Business Practice Address: | 2101 Stone Blvd 175 West Sacramento, CA - 956914044 |
Business Phone Number: | 9166172400 |
Business Fax Number: | 9166172403 |
Mailing Address: | 5535 Swadly Way, SACRAMENTO |
State: | CA |
Postal Code: | 958351520 |
Phone Number: | 9163915010 |
Fax Number: | |
NPI Enumeration Date: | 08/02/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 23908 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |