Individual
MR. DIMITRIOS GOULAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8791
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022742
NEIGHBORHOOD HEALTH
MA
05
—
0311847
—
MA
01
—
37992
HARVARD PILGRIM
MA
01
—
409838
TUFTS
—
01
—
Y67509
BC&BS
MA
Enumeration date
04/20/2007
Last updated
07/08/2007
Update your record
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