Sean Piccolo, DPT
Physical Therapist in Dover Afb, DE. Individual provider (NPI-1).
NPI number1982259834
StatusActive
Last updated in NPPESJun 6, 2024
Details
- NPI
- 1982259834
- Entity type
- Individual (NPI-1)
- Name
- Sean Piccolo
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2019
- Certification date
- Jun 6, 2024
- Last updated
- Jun 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT028028 | PA | Yes |
Practice location
300 Tuskegee BlvdDover Afb, DE 19902-5003
Phone 302-677-2568
Mailing address
1200 Corporate Dr Ste 400Birmingham, AL 35242-5424
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