Individual
DENIS OKOBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
545 S STATE ST STE H, SPARTA, MI 49345-1593
(616) 275-8014
Mailing address
18297 24TH AVE, CONKLIN, MI 49403-9777
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501303181
MI
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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