Andrew Dimos Dimitro PT

NPI 1407177207 - Specialist - 174400000X

NPI Details
NPI 1407177207
Gender Male
Enumeration Date 06/15/2010
Last Updated 06/15/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
810 LAKEVIEW DR
CROSS LANES WV, 25313-1448, US
Phone (304) 395-5635
Fax
Business Location
810 LAKEVIEW DR
CROSS LANES WV, 25313-1448, US
Phone (304) 395-5635
Fax
Toxanomy
Taxonomy Code 174400000X
License State West Virginia
License Number 0995
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According to our database, Mr. Andrew Dimos Dimitro PT NPI is 1407177207, taxonomy code is 174400000X and license number is 0995, license state is located at West Virginia. Andrew Dimos Dimitro PT physically located at 810 Lakeview Dr, Cross Lanes WV, 25313-1448. NPI Number Andrew Dimos Dimitro PT has the Individual type.

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1407177207 NPI number is provided on an as is basis without warranty of any kind. 1407177207 is maintained by the National Plan & Provider Enumeration System. The contents of Andrew Dimos Dimitro PT are for informational purposes only.