Individual
MS. DEMETRA BAKAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
7 DUNNBERRY CT, GREENSBORO, NC 27455-2575
(336) 288-6354
Mailing address
7 DUNNBERRY CT, GREENSBORO, NC 27455-2575
(336) 288-6354
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3795
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3795
PHYSICAL THERAPIST LICENS
NC
Enumeration date
05/03/2007
Last updated
07/08/2007
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