Individual
MR. ALEX NICHOLAS PAGOTELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008625
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220594
WA L&I
WA
01
—
P00433694
RAILROAD MEDICARE
WA
Enumeration date
04/26/2007
Last updated
03/13/2008
Update your record
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