Individual
IFEDIMA NWANKWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC, PTA
Contact information
Practice address
660 BOAS ST APT 1209, HARRISBURG, PA 17102-1313
(202) 802-2552
Mailing address
660 BOAS ST APT 1209, HARRISBURG, PA 17102-1313
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE013262
PA
2255A2300X
Athletic Trainer
A0000891
MD
Other
Enumeration date
09/28/2016
Last updated
05/23/2023
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