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Individual
MR. SPIROS KATZAKIS
Active
Individual
MR. SPIROS KATZAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106282
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106282
OTR LICENCE
TX
01
—
82920T
BLUE CROSS BLUE SHIELD
TX
01
—
8T1966
BLUE CROSS/BLUE SHIELD
TX
01
—
999147
NATIONAL BOARD OTR
TX
Enumeration date
08/30/2006
Last updated
07/08/2007
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