Individual
MR. EPAMINONDAS PANAYIOTIS IACOVOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
435 SAINT MICHAELS DR, SANTA FE, NM 87505-7672
(505) 984-8881
Mailing address
136A LORENZO RD, SANTA FE, NM 87501-6118
(505) 820-3336
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3347
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932284122
RMSI NPI
NM
Enumeration date
11/28/2006
Last updated
07/09/2007
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