Organization
ATLAS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TSAMBIKOS A DIMITRAKIS PT, MTC (PRESIDENT/OWNER)
(973) 325-7212
Entity
Organization
Contact information
Practice address
405 NORTHFIELD AVENUE, SUITE 200, WEST ORANGE, NJ 07052-3023
(973) 325-7212
(973) 325-7214
Mailing address
405 NORTHFIELD AVENUE, SUITE 200, WEST ORANGE, NJ 07052-3023
(973) 325-7212
(973) 325-7214
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA00442100
NJ
225100000X
Physical Therapist
Primary
40QA00442100NJ
NJ
Other
Enumeration date
11/24/2006
Last updated
05/06/2011
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