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NPI Code Detail

MEDICARE: ANASTASIA PANAGOPOULOS DPT

MEDICARE:   ANASTASIA  PANAGOPOULOS  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 Therapist17412MA

General Provider Information

NPI Number : 1992835003
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANASTASIA PANAGOPOULOS DPT
Provider Business Mailing Address
First Line : 1 DILISIO RD
Second Line :
City : SWAMPSCOTT
State : MA
Zip : 01907-1205
Country : US
Telephone Number : 781-592-3024
Fax Number :
Provider Business Practice Location Address
First Line : 84 HIGHLAND AVE
Second Line :
City : SALEM
State : MA
Zip : 01970-2727
Country : US
Telephone Number : 978-741-0880
Fax Number : 978-740-5595
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2007
Last Update Date : 12/03/2025

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1134191125 — PEDIATRIC ASSOCIATES OF GREATER SALEM, INC
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Directions to “ ANASTASIA PANAGOPOULOS DPT” Practice Location

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