Individual
DR. PAUL KENNETH STICKLES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
580 REED RD, BROOMALL, PA 19008-3655
(610) 356-6211
Mailing address
828 WYNDOM TER, SECANE, PA 19018-3427
(610) 425-1283
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT030763
PA
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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