Provider Demographics
NPI:1205976800
Name:DROSSOS, PANDORA LYDIA (PT, DPT)
Entity type:Individual
Prefix:
First Name:PANDORA
Middle Name:LYDIA
Last Name:DROSSOS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1704 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-4605
Mailing Address - Country:US
Mailing Address - Phone:360-207-4488
Mailing Address - Fax:360-485-0505
Practice Address - Street 1:1704 N STATE ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4605
Practice Address - Country:US
Practice Address - Phone:360-207-4488
Practice Address - Fax:360-485-0505
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60180145225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist