Individual
TRACEY DIACOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
235 SHADY AVE, LOWER LEVEL, REAR, PITTSBURGH, PA 15206-4380
(412) 665-1000
Mailing address
235 SHADY AVE, LOWER LEVEL, REAR, PITTSBURGH, PA 15206-4380
(412) 665-1000
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
MSG008372
PA
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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