Individual
JENNIFER IFEANYICHUCKWU OKOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S,COTA/L
Contact information
Practice address
18406 TRENTON RIDGE TRCE, RICHMOND, TX 77407-2932
(832) 496-9077
Mailing address
18406 TRENTON RIDGE TRCE, RICHMOND, TX 77407-2932
(832) 496-9077
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216765
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216765
—
TX
Enumeration date
05/06/2021
Last updated
05/06/2021
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