Individual
JAMES CHARLES BRADLEY STICKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2621 NE 134TH ST STE 140, VANCOUVER, WA 98686-3036
(360) 504-0122
Mailing address
2621 NE 134TH ST STE 140, VANCOUVER, WA 98686-3036
(360) 504-0122
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9687
OR
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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