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Mr. Andrew Dimos Dimitro, PT
Specialist in Cross Lanes, West Virginia
NPI 1407177207

Andrew Dimos Dimitro is a Specialist based in Cross Lanes, WV. Andrew Dimos Dimitro practices in Cross Lanes, WV and has the professional credentials of PT. The NPI Number for Andrew Dimos Dimitro is 1407177207 and holds a License No. 0995 (West Virginia).

The current practice location address for Andrew Dimos Dimitro is 810 Lakeview Dr, Cross Lanes, WV and can be reached out via phone at 304-395-5635.

Location: 810 Lakeview Dr, Cross Lanes, WV, 25313-1448
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407177207
Provider Name
Andrew Dimos Dimitro
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
810 Lakeview Dr, Cross Lanes, WV, 25313-1448
Phone Number
304-395-5635
Fax Number
Provider Enumeration Date
06/15/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
810 Lakeview Dr
City
Cross Lanes
State
West Virginia
Zip
25313-1448
Phone Number
304-395-5635
Fax Number
person
Provider Business Mailing Address Details
Address
810 Lakeview Dr
City
Cross Lanes
State
West Virginia
Zip
25313-1448
Phone Number
304-395-5635
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0995 (West Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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