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Individual

EKEI EKPO-ITA MBUKPA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
2212 SCHICKASAW TRAL #1167, ORLANDO, FL 32825-2730
(832) 820-7229
Mailing address
461 KIRK RD APT 1A, WEST PALM BEACH, FL 33406-2931
(832) 820-7229

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
029649
NY
224Z00000X
Occupational Therapy Assistant
006520-1
NY
225X00000X
Occupational Therapist
018744
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
56490
WY

Other

Enumeration date
07/11/2007
Last updated
05/06/2025
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