Individual
NICK GEORGULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2601 W RANDOL MILL RD, ARLINGTON, TX 76012-4289
(817) 274-5571
Mailing address
4200 BRIDGEVIEW DR APT 933, FORT WORTH, TX 76109-5569
(630) 308-4926
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2127747
TX
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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