Individual
DR. DIMITRI THEOFANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
91 S HIGH ST, SUITE 3, NEWVILLE, PA 17241-1405
(717) 776-1058
Mailing address
91 S HIGH ST, SUITE 3, NEWVILLE, PA 17241-1405
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT024377
PA
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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