Individual
THOMAS STEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.P.O.
Contact information
Practice address
115 TECHNOLOGY DR, SUITE CP102, TRUMBULL, CT 06611-6342
(203) 261-1162
(203) 452-9949
Mailing address
115 TECHNOLOGY DR, SUITE CP102, TR, CT 06611-6342
(203) 261-1162
(203) 452-9949
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CPO 953
ABC CERTIFICATION NUMBER
—
Enumeration date
03/16/2017
Last updated
03/16/2017
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