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NPI Code Detail

MEDICARE: SALLY STICKEL DARLIN PT, ATC, LAT

MEDICARE: SALLY STICKEL DARLIN PT, ATC, LAT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT 6501FL
22255A2300XAthletic TrainerAT 1628FL

General Provider Information

NPI Number : 1669515243
Entity Type Code : Individual
Provider Name (Legal Business Name) : SALLY STICKEL DARLIN PT, ATC, LAT
Provider Business Mailing Address
First Line : 285 STONER RD
Second Line :
City : WINTER SPRINGS
State : FL
Zip : 32708-3121
Country : US
Telephone Number : 407-468-3104
Fax Number :
Provider Business Practice Location Address
First Line : 1155 S ORLANDO AVE
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-4852
Country : US
Telephone Number : 407-468-3104
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2007
Last Update Date : 09/11/2025

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