Individual
PAMELA PANAGOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, CSCS
Contact information
Practice address
1723 8TH AVE, BROOKLYN, NY 11215-6103
(718) 290-2739
Mailing address
4615 CENTER BLVD APT 1508, LONG ISLAND CITY, NY 11109-5755
(310) 220-1132
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
036169
NY
Other
Enumeration date
04/01/2013
Last updated
04/01/2013
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