MR. Mark Leslie Georgopoulos, PTA

NPI #1083997811 in Onawa, Iowa

Provider Information

NPI Number: 1083997811
Entity Type: Individual
Name: MR. Mark Leslie Georgopoulos, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Sep 28, 2011
Last Updated: Sep 28, 2011

Practice Location

Address: 225 15TH ST.
City: Onawa
State: Iowa
ZIP Code: 51040
Phone: (712) 423-2510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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