Individual
DOUGLAS STICHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1406 6 TH AVE NORTH, ST CLOUD, MN 56303-1901
(320) 251-2700
(320) 656-7115
Mailing address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5372
MN
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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