Individual
ALEXANDER ANTHONY ADEGBEMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
3225 WOODLAND PARK DR APT 1742, HOUSTON, TX 77082-7618
(469) 360-1777
Mailing address
7324 SKILLMAN ST APT 2323, DALLAS, TX 75231-8463
(469) 360-1777
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217042
TX
Other
Enumeration date
08/20/2021
Last updated
10/04/2021
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