Individual
SEAN PICCOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
300 TUSKEGEE BLVD, DOVER AFB, DE 19902-5003
(302) 677-2568
Mailing address
1200 CORPORATE DR STE 400, BIRMINGHAM, AL 35242-5424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT028028
PA
Other
Enumeration date
08/07/2019
Last updated
06/06/2024
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