Doctor Name: | TSAMBIKOS ANASTASIOU DIMITRAKIS |
NPI Number: | 1487687646 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 40QA00442100 |
Business Practice Address: | 405 Northfield Avenue Suite 200 West Orange, NJ - 07052 |
Business Phone Number: | 9733257212 |
Business Fax Number: | 9733257214 |
Mailing Address: | 110 Sun Valley Way, FLORHAM PARK |
State: | NJ |
Postal Code: | 07932 |
Phone Number: | 9737358553 |
Fax Number: | |
NPI Enumeration Date: | 07/09/2006 |
NPI Last Update Date: | 04/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA00442100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |