Individual
MR. ALEX NICHOLAS PAGOTELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PT
Contact information
Practice address
3151 E 29TH AVE, SPOKANE, WA 99223-4800
(509) 532-0500
(509) 532-8810
Mailing address
8322 E VISTA PARK DR, SPOKANE, WA 99217-9447
(509) 892-7435
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
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