Individual
KYRIAKOS THEOPHANOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
6149 W 130TH ST, PARMA, OH 44130-1042
(216) 317-8613
Mailing address
4672 HILLAND RD, CLEVELAND, OH 44109-4570
(330) 423-3492
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT018144
OH
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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