Individual
MR. DAVID STICKNEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, PES
Contact information
Practice address
600 MAIN ST, BRIDGEPORT, CT 06604-5105
(203) 345-4816
Mailing address
600 MAIN ST, BRIDGEPORT, CT 06604-5105
(203) 345-4816
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
000851
CT
174400000X
Specialist
RT004437
PA
Other
Enumeration date
09/23/2009
Last updated
07/31/2015
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