Individual
MR. KOSTANTINOS VASALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4901 LACDEVILLE BLVD, BUILDING D SUITE 110, ROCHESTER, NY 14618-5647
(585) 341-9150
Mailing address
4901 LACDEVILLE BLVD, BUILDING D SUITE 110, ROCHESTER, NY 14618-5647
(585) 341-9150
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
026332
NY
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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