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Individual

ALEXANDRA DIAKONIKOLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
1524 S WOODSTOCK ST, PHILADELPHIA, PA 19146-4527
(443) 745-4886
Mailing address
1524 S WOODSTOCK ST, PHILADELPHIA, PA 19146-4527

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT0240986
PA

Other

Enumeration date
11/20/2020
Last updated
11/20/2020
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