Individual
DR. ANGELO JAMES FOTINOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
851 PENNIMAN AVE, PLYMOUTH, MI 48170-1621
(877) 864-8171
Mailing address
915 LAKEWAY AVE, KALAMAZOO, MI 49001-4981
(253) 906-4260
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501302555
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501302555
PT LICENSE
MI
Enumeration date
03/07/2023
Last updated
03/07/2023
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