Individual
MR. GEORGE KOUTSOUVANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
512 NE 81ST ST STE H, VANCOUVER, WA 98665-8134
(360) 553-3782
(360) 583-6191
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8888
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
524052
—
AZ
Enumeration date
06/22/2006
Last updated
08/28/2025
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