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NPI Code Detail

MEDICARE: MS. POPI J. GIANAKOURAS MSPT, DPT

MEDICARE: MS. POPI J. GIANAKOURAS MSPT, DPT
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 Therapist11866MA

General Provider Information

NPI Number : 1487651055
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. POPI J. GIANAKOURAS MSPT, DPT
Provider Business Mailing Address
First Line : 790 DALE ST
Second Line :
City : NORTH ANDOVER
State : MA
Zip : 01845-1420
Country : US
Telephone Number : 978-372-3211
Fax Number :
Provider Business Practice Location Address
First Line : 679 S MAIN ST
Second Line :
City : HAVERHILL
State : MA
Zip : 01835-8721
Country : US
Telephone Number : 978-372-3211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 02/12/2014

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