Provider Demographics
NPI:1396707477
Name:SOTIROKOS, ANDREW P (DPT)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:P
Last Name:SOTIROKOS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:225 REINEKERS LN
Mailing Address - Street 2:GR 4
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-2856
Mailing Address - Country:US
Mailing Address - Phone:703-299-3111
Mailing Address - Fax:703-299-1556
Practice Address - Street 1:225 REINEKERS LN
Practice Address - Street 2:GR 4
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-2856
Practice Address - Country:US
Practice Address - Phone:703-299-3111
Practice Address - Fax:703-299-1556
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA23052057542251X0800X
PAPT017462225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist