Organization
ELICENT OSTEOPRACTIC PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NNABUIKEM ANABA THERAPISTS (CEO)
(773) 865-1522
Entity
Organization
Contact information
Practice address
1150 W 24TH ST STE D, YUMA, AZ 85364-8368
(773) 865-1522
Mailing address
1150 W 24TH ST STE D, YUMA, AZ 85364-8368
(773) 865-1522
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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