Provider Demographics
NPI:1194324665
Name:CHIRICO, FRANCESCA (ATC, LAT, PA-C)
Entity type:Individual
Prefix:
First Name:FRANCESCA
Middle Name:
Last Name:CHIRICO
Suffix:
Gender:F
Credentials:ATC, LAT, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 BERWYN ST FL 1
Mailing Address - Street 2:
Mailing Address - City:SOUTH HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01075-1801
Mailing Address - Country:US
Mailing Address - Phone:845-800-8086
Mailing Address - Fax:
Practice Address - Street 1:1111 CROMWELL AVE STE 404
Practice Address - Street 2:
Practice Address - City:ROCKY HILL
Practice Address - State:CT
Practice Address - Zip Code:06067-3455
Practice Address - Country:US
Practice Address - Phone:860-525-4469
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-25
Last Update Date:2025-02-12
Deactivation Date:2024-05-04
Deactivation Code:
Reactivation Date:2024-05-23
Provider Licenses
StateLicense IDTaxonomies
CT15172255A2300X
MA34232255A2300X
390200000X
CT6984363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3423OtherMASSACHUSETTS BOARD OF ALLIED HEALTH PROFESSIONAL
CT1517OtherCONNECTICUT DEPARTMENT OF PUBLIC HEALTH