Individual provider · Type 1 NPI
David Stickney Jr., MS, ATC, PES
Specialist · Bridgeport, CT
NPI number
1770817876
Active
Practice location
600 Main St
Bridgeport, CT 06604-5105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | RT004437 (PA) |
| Specialist Primary | 174400000X | 000851 (CT) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1770817876
David Stickney Jr., MS, ATC, PES's National Provider Identifier is 1770817876, issued on Sep 23, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Bridgeport, CT. The record was last updated on Jul 31, 2015.