Individual
MR. LOGAN SCOTT STICKNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
9029 E MISSISSIPPI AVE, APT. R-204, DENVER, CO 80247-6803
(308) 440-6456
Mailing address
9029 E MISSISSIPPI AVE, APT. R-204, DENVER, CO 80247-6803
(308) 440-6456
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2929
CO
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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