Individual
CHRISTOS KARAGIANNOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1812 MARSH RD, STORE 505, WILMINGTON, DE 19810-4581
(302) 475-7500
(302) 475-5787
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0002359
DE
225100000X
Physical Therapist
PT012595L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316936271
TRICARE CHAMPUS
—
05
—
1316936271
—
DE
Enumeration date
10/13/2005
Last updated
03/14/2013
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