MS. Theodora Koktsidis, HEALTH ADMINISTRATOR

NPI #1194965558 in Hobart, Indiana

Provider Information

NPI Number: 1194965558
Entity Type: Individual
Name: MS. Theodora Koktsidis, HEALTH ADMINISTRATOR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Credential: HEALTH ADMINISTRATOR
Enumeration Date: Feb 25, 2009
Last Updated: Feb 25, 2009

Practice Location

Address: 346 FOX TRAIL CT
City: Hobart
State: Indiana
ZIP Code: 46342-2351
Phone: (219) 677-7018

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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