Individual
MRS. STEPHANIE DIMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
5102 CHRISTIANA MDWS, BEAR, DE 19701-1156
(330) 310-1180
Mailing address
5102 CHRISTIANA MDWS, BEAR, DE 19701-1156
(330) 310-1180
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J3-0000407
DE
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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