David Iannicca, ATC
Physical Medicine & Rehabilitation · Surprise, AZ
UnclaimedATCNPI 1245455666
- Primary taxonomy
- 2081S0010X
- Enumerated
- 2007-04-13
- Practice location
- Surprise, AZ
- Last NPPES update
- 2007-07-08
State licenses
- VA · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.