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NPI Code Detail

MEDICARE: MR. IOANNIS ELEFTHERIOU OTR

MEDICARE: MR. IOANNIS ELEFTHERIOU OTR
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
1225X00000XOccupational Therapist1702334KS

General Provider Information

NPI Number : 1912176066
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. IOANNIS ELEFTHERIOU OTR
Provider Business Mailing Address
First Line : 810 E 30TH AVE
Second Line :
City : HUTCHINSON
State : KS
Zip : 67502-4340
Country : US
Telephone Number : 620-663-1189
Fax Number : 620-669-8662
Provider Business Practice Location Address
First Line : 810 E 30TH AVE
Second Line :
City : HUTCHINSON
State : KS
Zip : 67502-4340
Country : US
Telephone Number : 620-663-1189
Fax Number : 620-669-8662
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2008
Last Update Date : 02/22/2008

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