Individual
NIKOLAS DIMITRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
757 UNIVERSITY CITY BLVD, BLACKSBURG, VA 24060-2705
(540) 585-4841
Mailing address
257 OLD CEDARFIELD DR, BLACKSBURG, VA 24060-6403
(757) 651-8616
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305214872
VA
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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