Individual
MRS. ATHENA ARISTIDES ELIOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
100 JEFFERSON BLVD, WARRICK, RI 02888-3850
(401) 463-3060
(401) 463-9990
Mailing address
100 JEFFERSON BLVD, WARRICK, RI 02888-3850
(401) 463-3060
(401) 463-9990
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1957
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
412635
BLUE CROSS
RI
01
—
6400223
UNITED
RI
01
—
75428
BLUE CROSS
RI
Enumeration date
09/07/2006
Last updated
07/08/2007
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