Whalio Doctors

NPI 1154573863

Albert Henry Ciccel, LOCPEDBOCOF

Practitioner Orthotist North Little Rock, AR

Practice location

Address
2200 Fort Roots Dr Bldg 89, North Little Rock, AR 72114-1709
Phone
(501) 257-1610
Fax
(501) 257-1624
Mailing address
7603 Jacksonville Cutoff Rd APT B, Jacksonville, AR 72076-3956

Registered specialties (2)

Orthotist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence OPP00030 (AR)
Orthotic Fitter
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X Licence C17466

Registry record

NPI
1154573863
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Oct 2008
Record last updated
14 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.