Individual
FOTINI YANTSIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
503 S. WILLIAMS ST., BLDG 16, GALLUP, NM 87301
(505) 722-4383
Mailing address
3009 CINIZA DR, GALLUP, NM 87301-4614
(505) 722-0070
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2202
NM
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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