Provider Demographics
NPI:1942323886
Name:CIOTTA, VICTORIA MARIE (DC)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:MARIE
Last Name:CIOTTA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5569 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-2372
Mailing Address - Country:US
Mailing Address - Phone:440-888-1535
Mailing Address - Fax:
Practice Address - Street 1:5569 RIDGE RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-2372
Practice Address - Country:US
Practice Address - Phone:440-888-1535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-07
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1114111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0568501Medicare ID - Type Unspecified
OHT48220Medicare UPIN