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Individual

JONIS CHATZIGIANNIDIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPED, DOMP, MT

Contact information

Practice address
6465 S YALE AVE STE 608, TULSA, OK 74136-7808
(918) 747-8224
(918) 935-3499
Mailing address
6465 S YALE AVE, SUITE 608, TULSA, OK 74136
(918) 747-8224
(918) 296-3587

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
26
OK
222Z00000X
Orthotist
26
OK
224L00000X
Pedorthist
26
OK
225000000X
Orthotic Fitter
26
OK
225700000X
Massage Therapist
157326
OK
246ZE0600X
Electroneurodiagnostic Specialist/Technologist

Other

Enumeration date
03/08/2006
Last updated
08/28/2024
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