1568090017 NPI number — MRS. ANASTASIA S KOUTRODIMOS OT

Table of content: MRS. ANASTASIA S KOUTRODIMOS OT (NPI 1568090017)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568090017 NPI number — MRS. ANASTASIA S KOUTRODIMOS OT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KOUTRODIMOS
Provider First Name:
ANASTASIA
Provider Middle Name:
S
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
OT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KOUTRODIMOS
Provider Other First Name:
STACEY
Provider Other Middle Name:
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
OT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1568090017
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/31/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4125 MEDINA RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AKRON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44333-2483
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-665-8200
Provider Business Mailing Address Fax Number:
330-665-8197

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4125 MEDINA RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AKRON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44333-2483
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-665-8200
Provider Business Practice Location Address Fax Number:
330-665-8197
Provider Enumeration Date:
03/31/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225XH1200X , with the licence number:  5874 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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