MARK LESLIE GEORGOPOULOS

ONAWA, IA
NPI1083997811
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IA  001583)
Enumeration Date2011-09-28
Last Update Date2011-09-28
Business Address
Mr. MARK LESLIE GEORGOPOULOS PTA
225 15TH ST.
ONAWA, IA 51040
Phone number: 712-423-2510
Mailing Address
Mr. MARK LESLIE GEORGOPOULOS PTA
4428 NICOLLET WAY
SIOUX CITY, IA 51106-4333
Phone number:
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