Provider Demographics
NPI:1871317503
Name:VARLAS, EROTOKRITOS TERRY (DPT)
Entity type:Individual
Prefix:
First Name:EROTOKRITOS
Middle Name:TERRY
Last Name:VARLAS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:ERIC
Other - Middle Name:TERRY
Other - Last Name:VARLAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2404 VIDALIA CT
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20601-3780
Mailing Address - Country:US
Mailing Address - Phone:301-233-9193
Mailing Address - Fax:
Practice Address - Street 1:101 CENTENNIAL ST STE C
Practice Address - Street 2:
Practice Address - City:LA PLATA
Practice Address - State:MD
Practice Address - Zip Code:20646-5976
Practice Address - Country:US
Practice Address - Phone:301-392-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-11
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist