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Individual

ELHAM OKHOVAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1821 N LAKE FOREST DR STE 300, MCKINNEY, TX 75071-7670
(469) 219-3707
(469) 919-0544
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6250
(630) 575-7450

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1179250
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1179250
PT LICENSE
TX
Enumeration date
02/08/2008
Last updated
02/01/2021
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