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1467125062
DEMETRA ELENI YIANNOPOULOS
PORT ORANGE, FL
NPI
1467125062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA31342)
Enumeration Date
2021-07-29
Last Update Date
2021-07-29
Business Address
Ms. DEMETRA ELENI YIANNOPOULOS PTA, LMT
4606 CLYDE MORRIS BLVD STE 1D
PORT ORANGE, FL 32129-7453
Phone number: 386-492-2986
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Mailing Address
Ms. DEMETRA ELENI YIANNOPOULOS PTA, LMT
724 MARATHON WAY
SOUTH DAYTONA, FL 32119-1920
Phone number: 904-563-0221
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