Individual
GEORGIA SOTIROPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
213 GREENHILL AVE, STE C, WILMINGTON, DE 19805-1844
(302) 658-7800
(302) 658-1550
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J10001165
DE
225100000X
Physical Therapist
PT1008310L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146693000
AMERIHEALTH/IBC
—
01
—
381126
MAMSI
—
01
—
5070-0017
CAREFIRST/FEDERAL
—
01
—
61809903
CAREFIRST/NCA
—
01
—
650024731
RAILROAD MEDICARE
DE
01
—
P00398590
RR MEDICARE
—
Enumeration date
06/11/2006
Last updated
03/05/2013
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