# STICK IT PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366294316
- **Authorized official:** JACQUELINE DEARY DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (860) 315-2877

## Contact information

- **Practice address:** 31 COMMERCE AVE, DANIELSON, CT 06239-2804
- **Practice address phone:** (860) 774-7425
- **Mailing address:** 18 BALLOU ST APT 14, PUTNAM, CT 06260-1252
- **Mailing address phone:** (860) 315-2877

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/03/2024
- **Last updated:** 04/03/2024