Individual
BRYAN C. NWAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
4201 FM 105, ORANGE, TX 77630-1272
(409) 349-1008
Mailing address
2555 SWEETGUM LN APT 16, BEAUMONT, TX 77703-4986
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214686
TX
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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