Individual
AUTUMN STICKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8100 BOONE BLVD STE 140, VIENNA, VA 22182-2689
(703) 717-7988
Mailing address
3000 WESTHURST CT, OAKTON, VA 22124-1751
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
VA
Other
Enumeration date
06/27/2025
Last updated
06/27/2025
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