Individual provider · Type 1 NPI
Andrew Dimos Dimitro, PT
Specialist · Cross Lanes, WV
NPI number
1407177207
Active
Practice location
810 Lakeview Dr
Cross Lanes, WV 25313-1448
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 0995 (WV) |
Specialist: 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.
Other specialist providers in Cross Lanes
About NPI 1407177207
Andrew Dimos Dimitro, PT's National Provider Identifier is 1407177207, issued on Jun 15, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Cross Lanes, WV. The record was last updated on Jun 15, 2010.